Space Resources Interest Form

Colorado School of Mines Space Resources Program

Please complete this interest form so we can help support your interest in the Space Resources Program. You can learn more about our program at: space.mines.edu.
Name *

First Name Last Name
Email *
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Please indicate the term you are interested in enrolling in your first class *
Please indicate the program degree level you are interested in pursuing *
Please tell us your current employer or institution *
Please tell us how you heard about the Colorado School of Mines Space Resources Program
Questions/Additional Information
Should be Empty: