Franchise Application
Full name
*
Email address
*
Country
*
Panama
Albania
Algeria
American Samoa
Angola
Anguilla
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Bahrain
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Brunei
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Canary Islands, The
Cape Verde
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Chad
Chile
China, People's Republic
Colombia
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Congo
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Croatia
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Cyprus
Czech Republic, The
Denmark
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Guyana (French)
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Israel
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Lao, People's Democratic Republic
Latvia
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Lesotho
Liberia
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Luxembourg
Macau
Macedonia, Republic of (FYROM)
Madagascar
Malawi
Malaysia
Maldives
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru, Republic Of
Nepal
Netherlands, The
Nevis
New Caledonia
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Palau
Papua New Guinea
Paraguay
Peru
Philippines, The
Poland
Portugal
Puerto Rico
Qatar
Reunion, Island Of
Romania
Russian Federation, The
Rwanda
Saipan
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somaliland, Rep of (North Somalia)
South Africa
Spain
Sri Lanka
St. Barthelemy
St. Eustatius
St. Kitts
St. Lucia
St. Maarten
St. Vincent
Suriname
Swaziland
Sweden
Switzerland
Tahiti
Taiwan
Thailand
Timor Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Zambia
Zimbabwe
Please fill your home address details
*
Province
*
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Bocas del Toro
Chiriquí
Coclé
Colón
Darién
Herrera
Los Santos
Panamá
Panamá Oeste
Veraguas
District
*
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Town
*
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Enter the best phone number to contact you
*
Please choose one of the locations available to open a STEAM Academy® branch
*
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San Francisco
Bethania
Condado del Rey
Villa Lucre
Las Cumbres
Vista Alegre, Arraiján
La Chorrera
Boquete
David
Chitré
Penonomé
Colón
Santiago
Please enter the number of children you have and their ages
*
Are you willing to subject yourself to a due diligence in order to determine your eligibility to become a Panama STEM Education Partner?
*
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Yes
No
Do you have fifty thousand US dollars (USD 50,000) in your own funds, so that you can make the necessary capital investment?
*
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Yes
No
If you do not have your own funds, please indicate how you plan to finance the initial capital investment
Are you willing to dedicate yourself full time and operate your STEAM Academy® Center by yourself or by a family member?
*
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Yes
No
Please submit the following documents with your application:
Financial Statement
*
Upload Document
Curriculum Vitae
*
Upload Document
Police Record
*
Upload Document
Reference Letter 1
*
Upload Document
Reference Letter 2
*
Upload Document
Non Disclosure Agreement
*
(
Download
)
Upload Document
Submit Application