1 Start 2 School Details 3 Payment 4 Complete We are delighted to be able to offer PSQM schools 20% off ASE primary school membership for each year the school maintains their PSQM (3 years). ASE is the largest subject association in the UK and ASE members are part of the dynamic community of teachers, technicians and other professionals supporting science education. ASE membership is of significant value to schools aiming for a PSQM award and is highly recommended by hub leaders. PSQM Primary school membership includes the following benefits: Primary Science – 5 issues p.a. of our flagship primary journal Education in Science – 4 issues p.a. of ASE’s topical house magazine Access to the member-only primary resources including over 150+ Primary Upd8s A ‘golden ticket’ for one fee log in to ASE Annual Conference which will be online this January 2021. You will also get three one-day delegate passes to our Summer Conference (July 2021). This is a unique benefit for PSQM schools. For more information check out our events: www.ase.org.uk/events Access to regional and national CPD Opportunities to network with other schools and science professionals Discounts on ASE books and resources Free access to the twice-a-year research journal for early years – Journal of Emergent Science On the checkout page you will be given the option to either check out via credit or debit card, or select an invoice. If needed you will also be able to input a Purchase Order Number. If you select invoice this will be emailed to the email address used on the form below. The invoice will be attached to the email confirmation of your details. Membership Type * Primary School - PSQM Discount Would you like the STE journal add on? - None -Yes - Add STE for £21.00 PSQM / PSTA & Special Information Please state which round of PSQM you have applied for: * - Select -Round 19 (2019-20)Round 20 (2020-21)Round 21 (2021-22)Round 22 (2022-23) Your details Title * - Select -DrMissMrMrsMsMxProf.BaronessDameLadyLordRevSirSister First Name * Last Name * Email * Phone * Job Title * What are your areas of interest? BiologyChemistryLeadershipEducational ResearchPhysicsPrimary ScienceProfessional DevelopmentSENDSTEMTeacher Education Birth Date (Optional) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Please select the gender you identify most with (Optional) - None -FemaleMaleLet me typePrefer not to say Please type below What is your ethnic group? - None -Asian or Asian BritishBlack, African, Black British or CaribbeanMixed or multiple ethnic groupsWhiteAnother ethnic groupPrefer not to say Which one best describes your Asian or Asian British background? IndianPakistaniBangladeshiChineseAny other Asian background Which one best describes your Black, African, Black British or Caribbean background? AfricanCaribbeanAny other Black, African or Caribbean background Which one best describes your Mixed or Multiple ethnic groups background? White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or Multiple ethnic background Which one best describes your White background? English, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerAny other White background Which one best describes your background? ArabAny other ethnic group Please type below