This form will register you for our STEAM pilot course. You will receive free and early access to this training in exchange for giving us feedback on the training itself. We appreciate your willingness to assist us! STEAM Pilot Course ApplicationCECPD's STEAM course is currently in development and is scheduled to launch on 6/30/2025. Name(Required) First Last Email(Required) Enter Email Confirm Email PhoneExperience & RoleRole (lead teacher, assistant, family-child-care provider, etc.)(Required)Years of Experience in Early Childhood Education(Required)Setting (Center, Family Childcare Home, School-based, etc.)(Required)Highest Credential Earned (CDA, AA, BA…)(Required)How confident are you embedding science, technology, engineering, arts, and mathematics concepts into your classroom activities today?(Required) Not confident at all Slightly Confident Moderately Confident Very Confident Extremely Confident Consent to Participate(Required) I have read the terms below and I voluntarily consent to participate under these terms. I understand that my participation in this pilot test is voluntary. I agree that: My responses (quiz scores, survey answers, and Center Integration Plan) may be used in aggregate for course evaluation and improvement. All data will be de-identified in any reports or presentations. No personally identifiable information will appear in any course evaluation materials. Your name and contact info are collected purely to facilitate course enrollment. I may withdraw at any time by closing this form; partial data will be excluded.