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Request a Science Student
Request a science student for support in STEM subjects for K-12 schools.
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* Indicates required question
School Info
Please provide information for your school
Name of the school.
*
Your answer
School address
Your answer
Contact Info
Name
*
Name of the point of contact for your school
Your answer
Email address
Your answer
Phone Number
Please provide the phone number we are most likely to reach you at during business hours
Your answer
Student Request Information
How many students would you like to request?
*
If you are requesting more than 5, please indicate the number in the "other" box
1
2
3
4
5
Other:
What does the school need the students for?
*
eg. Science fair judges
Your answer
What day and time would you like these students?
*
MM
/
DD
/
YYYY
Approximate start time
Time
:
AM
PM
Approximate end time
Time
:
AM
PM
Please write any special requests or additional information you would like us to know.
Your answer
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