Texas Noyce Scholar Meet-Up Seminars at CAMT 2023

CAMT Pre-Conference and Post-Conference Texas Networking Meetings

Sunday, June 25th, 2023, 6:00 - 8:00 p.m., UTA Fort Worth, 1401 Jones St., Fort Worth, TX 76102
Wednesday, June 28th, 2023, 12:00 - 2:00 p.m., UTA Fort Worth, 1401 Jones St., Fort Worth, TX, 76102

Name Name * First Last
Phone Phone * - ### - ### ####
Primary Email *
Secondary Email
May we send texts to communicate with you? *

May we send texts to communicate with you? Yes No
From which University were you awarded an NSF Robert Noyce scholarship or stipend? *
Please provide the name of the Principal Investigator or the Director of your NSF Robert Noyce Program.
Have you attended and/or registered for CAMT? *

Have you attended and/or registered for CAMT? Yes No
I understand that to receive the stipend I must attend the Pre and Post Meet-Up programs and attend CAMT.
I also understand the stipend paperwork will be processed after the meeting on June 28th. Payments will be made upon completion and approval of required paperwork and successful enrollment in PaymentWorks.
PIs or Program Leaders will not receive the stipend. *

I understand that to receive the stipend I must attend the Pre and Post Meet-Up programs and attend CAMT.
I also understand the stipend paperwork will be processed after the meeting on June 28th. Payments will be made upon completion and approval of required paperwork and successful enrollment in PaymentWorks.
PIs or Program Leaders will not receive the stipend. Yes No
Please indicate your Noyce status below: *

Please indicate your Noyce status below: Graduated Noyce Scholar currently teaching Graduated Noyce Scholar not presently teaching Noyce Scholar not yet graduated Noyce Program PI/Co-PI or Program Leader
How many years have you taught? *
If you are currently teaching, please indicate your school name. *
If you are currently teaching, please indicate your school district. *
A meal will be provided on June 28th. If you have any food allergies or dietary restrictions, please indicate your specific needs. *
If you require accommodations or have any questions about accessibility at our venue, please also provide this information below, or contact us at TXNoyce@hale.uta.edu.