WelcomeMESA Program Description and Enrollment Form Mathematics, Engineering, Science Achievement (MESA) is a low-cost program designed to increase access to Science, Technology Engineering, and Mathematics (STEM) pathways and encourage college readiness for low-income or first-generation college-bound students in grades 6-12 in order to support greater Equity in STEM. Successful implementation of MESA requires a strong partnership between Arizona MESA, the school administration, and the MESA coach. Within this relationship, each party plays a vital role in the success of MESA. Upon submitting this form, all parties listed below agree to fulfill their role as described below to the best of their ability.Arizona MESA, as the program provider, will offer STEM design competitions, connections with state colleges and universities, links to STEM industries, Professional Development for Teachers, STEM learning resources and materials, and college readiness resources. The MESA Coach, as the facilitator, will engage in student recruitment; weekly activity planning and facilitation; distribute programmatic information, including enrollment forms and event details; coordinate student attendance at MESA events; submit program evaluation and reports in a timely manner; maintain regular communication with MESA staff; and support student learning through the implementation of the Engineering Design Process to engage with MESA Design Challenges. The School Administrator, as the on-site support, will identify the MESA coach; secure funding for MESA fees, coach stipends, and transportation costs; maximize opportunities to access any funds that can be used to support the teacher in program implementation; support and encourage teacher participation in professional development; assist as needed in completing administrative processes of involvement in MESA events. MESA Program Level of Service Description and Fee Options (Select either option 1 or 2): Full Program Options - $700. Includes: Professional Development – teachers will have access to 15 – 25 hours of PD at no additional cost. MESA STEM Resource Budget – up to $300 of resources and materials to support MESA facilitation. Regional Design Day and MESA Day Registration – schools may bring up to 45 students for each event. Additional Events and Opportunities – top priority for additional offerings throughout the year. At $700, Arizona MESA provides schools, teachers, and students with the most affordable, comprehensive, and rigorous long-term STEM initiative in the state. A La Carte Options $100 - Professional Development 15 – 25 hours of PD $30/challenge (max 6 students per challenge) - Regional Design Day Registration only (Max $210) $60/challenge (max 6 students per challenge) - MESA Day Registration only (Max $420) Dates and Deadlines August 23 – Full Program or Professional Development Registration and Payment Due. A submitted PO suffices as payment. Contact Manny Leon with any questions about payment. August 24 – MESA Advisor Training Institute at Biosphere 2 – Program Updates and Information for the 2024-2025 school year. September 1 – Program Enrollment Form Due – Enrollment Form is attached below December 20 – Last day to change enrollment to Full Program - Full program fee less any previously paid fees due. Email Manny Leon to change enrollment and to submit payment. February 3 – Regional Design Day Registration and Payment Due February 15 – Southern Region Design Day February 22 – Central Regional Design Day April 4 – MESA Day Registration and Payment Due April 4 – Last day to submit Student Information Forms (SIF) April 26 – MESA Day – in Phoenix if facilities are available. Visit our calendar for more dates, including MESA Regional Design Days and MESA Day. Other events may be added later. Loading...* Indicates a required field.School InformationSchool Name (Please select from the drop-down options, if possible.)//Hidden field for school CEEB.Please choose a school from the drop-down list, if possible.District NameGrades ServingGrades ServingElementary06070809101112Size of Student BodyIs your school designated a Title 1 school?Is your school designated a Title 1 school?YesNoPercentage of students that qualify for free or reduced lunch?Percentage of students that are part of an ethnic minority?Percentage of students that would be first-generation college-bound students?MESA Advisor InformationDeleteMESA Advisor _ID_Full NameTitleEmail AddressPhone Number//Hidden field to set Device Type - 1 to Phone. You can only write to one device per form registration.Email AddressEvening PhoneMobile PhonePrimary Phone//Hidden field to set Device Priority - 1 to Normal. You can only write to one device per form registration.High PriorityNormal PriorityLow PriorityInactive//Hidden field to set Relation to "MESA Advisor."CounselorEAO ContactFaculty/TeacherIB CounselorINTL ContactMESA AdvisorPrincipal/AdminPTK AdvisorScheduling ContactAdd a Co-AdvisorMESA Program InformationMESA Classroom NumberSelect your program fee option:Select your program fee option:Full ProgramMESA Coach Professional DevelopmentEvents OnlyOption 1 – Full ProgramOption 2 – A La Carte: Professional DevelopmentOption 3 – A La Carte: Regional and MESA Day RegistrationOption 4 – A La Carte: MESA Day Registration OnlyOur school agrees to the Memorandum of Understanding and agrees to pay the fees associated with the program options selected above.By checking this box and typing our names below, we are electronically signing this form.MESA Advisor (type in your name):Submit