DI FREE APPLICATION

School/Organization Name:

School/Organization Address:

City:

Zip Code:

Phone Number:

Email:

Fax:

School/Organization Type:
Public
Private
Home School Association
Community Group (Boy/Girl Scouts, YMCA, etc.)

Coordinator/Contact Person:

Address:

City:

Zip Code:

Phone Number:

County:

Fax:

Email:

Has your school participated in any Creative Problem Solving Program in the past ten years (for example, Odyssey of the Mind, Lego, Robotics, etc.)? Yes No

If yes, please advise which program and which year you participated:

Application Directions: Please fill out the application information completely.

Send the application and your check (please make check payable to SCOOPS) or purchase order to:
Pat Wuzzardo
19 Landmark Drive, Apt 42D
Columbia, SC 29210-4541

If you have any questions, please contact Pat Wuzzardo at pat@insidescoops.org or 1-803-731-5692