Personal Information

Title: First: Last: Suffix:

Street Address:

City: State: Zip Code:

Phone: Email:

I am registering for

Friday and Saturday ($45)
Friday Only ($30)
For Saturday Only ($35)
As a Student (any combination of days) ($25)

Conference Activities

Please check the activities you intend to participate in. Space may be limited.

Friday, October 25

3:00 PM – 4:30 PM – (Full) See requirement below Tour of National Institute for Aviation Research for those who preregistered
3:30 PM – 4:30 PM Grizzly Adventures at Butler Community College (meet in Lobby of 2000 Building, the "Welcome Center")
3:00 PM – 7:00 PM Registration (Lobby of 2000 Building, the "Welcome Center")
3:00 PM – 6:00 PM Poster set up (upstairs Welcome Center)
6:00 PM – 7:00 PM Poster session (upstairs Welcome Center)
7:00 PM – 8:30 PM Banquet and guest: former astronaut Sam Gemar

Saturday, October 26

8:00 AM – 9:00 AM Continental breakfast/Registration
9:00 AM – 9:15 AM Presentation to Kansas Physics Teacher of the Year
9:30 AM – 11:30 AM Morning Sessions
12:00 PM – 1:00 PM Lunch and guest speaker Steven L. "Jake" Jacobs
1:00 PM – 2:00 PM Poster session, continued
2:00 PM – 3:30 PM Afternoon Sessions
3:45 PM Raffle!
4:00 PM – 5:00 PM Business meeting

The tour of the National Institute for Aviation Research is currently Full, you may register for the wait list and you will be contacted by October 21, 2013 if any opening become available. Also we are required by the NIAR to provide them with the country of citizenship of all participants on the tour as citizens of embargoed countries (North Korea, Iran, etc) are not permitted to tour the NIAR facility).

I am preregistering for the wait list for the tour of the NIAR and my country of citizenship is and my employer is

Presenting at the Conference

Do you plan to present (check as many as apply)

Poster – Friday
Poster – Saturday
Paper – Saturday

Please fill out the detailed presenter‘s form available from the top menu on the conference home page.

The following questions are for quick and informal demographic data only.

  1. In which state are you employed?
  2. Which grade level(s) do you regularly teach?
  3. Which subject(s) do you currently teach?
    *If other, please specify:

Optional Section

Kansas Physics Teacher of the Year
Every year, the host state has the privilege of turning the spotlight on one of its excellent physics teachers.

Please enter the name of a Kansas physics teacher as a candidate for the teacher of the year award.

Nominee‘s Name:

Where does your Kansas Physics Teacher of the Year nominee teach?

Kansas Physics Teacher of the Year Nominee‘s school:

Please give some examples that illustrate why you believe this nominee is an excellent physics instructor
Kansas Physics Teacher of the Year Narrative:

If you have any concerns or special needs such as dietary restrictions or accessibility needs, please indicate so here.
Comments & Questions:

For your convenience we are now accepting credit card payments. Please call the Accounts Receivable office at Butler Community College at 316–218–6101. Please mention the AOK AAPT conference to make sure your payment gets credited to the correct account.