Iribe Initiative Outreach Application
Thank you for your interest in learning more about our outreach programs. We are available to provide a range of activities for K-12 students. Please give us some basic information about what we can do for you or your organization and we will try to accommodate as many requests as possible. Requests must be submitted 4-6 weeks ahead of time.

If you have any questions, please contact mcwic@cs.umd.edu
Sign in to Google to save your progress. Learn more
Outreach Request Information
Please give us as much information as possible, we will contact you within 2-3 business days.
First Name *
Last Name *
Email Address *
Phone Number
Organization/School *
Tell us more about your request. *
Age group of participants.
What time of week are you interested in the activity occurring?
How many students would you have participating?
What type of activity are you looking for?
What topics would you like the ambassadors to focus on?
Have you been involved with any MCWIC or Iribe Initiative activities in the past?
General comments, concerns, etc.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Maryland, College Park. Report Abuse
Google Forms