Biological Sciences Initiative

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Science Squad Presentation Request Form

Science Squad presentations are filled on a first-come, first-served basis. You are not guaranteed a presentation by completing this form. Upon completing this form, you will receive a general email confirmation that your request has been received. However, do no expect to hear back from the individual Science Squad presenter until after the first week in September. Science Squad presentations are limited to the Denver/Boulder Metro area. Generally we do not go to any school for 1-2 classes, but rather for 4-5 (50 minute) classes or 3 block (90 minute) classes. Teachers are allowed up to four presentations during the school year. Please complete all the requested fields below if you would like a presentation. The form below allows you to request up to 4 presentations plus an alternate.

Name(first and last)*:

Name of School*:

School Address:
(include city and zipcode)

School District

School District (If not shown above)

Email Address:

School Phone:

Home Phone*:

How would you like to be contacted?

Email Phone

Grade Level:

Number of Classes:

Class length time:

When selecting dates, please consult with your school calendar for planning dates, special events, CSAP testing, etc. Please also remember that Science Squad presentations will be available from mid-September through the end of May. If you are making a request for a block scheduled class that requires the Science Squad member to be present two days to reach all of your students, it will be considered 2 presentations of your 4 presentation limit.


Presentation 1:		When:
	Additional Comments:

Presentation 2:		When:
	Additional Comments:

Presentation 3:		When:
	Additional Comments:

Presentation 4:		When:
	Additional Comments:

Alternate Presentation:		When:
	Additional Comments:

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