Outreach Interest Form

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The Division of Laboratory Services located in Broomfield, Colorado is home to three laboratories: Animal Health (AHL), Biochemistry (BCL) and Metrology (MTL).

We encourage groups* interested in aspects of agriculture, biology, chemistry, weights, calibrations and/or measures to complete this form to begin the process of planning a visit.

Also available: SPARK Outreach Curriculum - Google classroom agriculture-related science lessons designed to be completed in your classroom, sharing the knowledge that teachers and students receive during a visit to DLS.

*Limited to groups of 25 or fewer not including teacher(s) or chaperone(s). Groups of this size will be divided into smaller groups for the tour(s) and any hands-on activities.

Email *

First and Last Name, Title *

School or Organization Name *

Your estimated travel time to our location: 300 S. Technology Court, Broomfield, CO 80021 *

If school, please select one (otherwise, select N/A) *

Public

Private

N/A

Demographics *

Urban

Suburban

Rural

Underserved population *

Yes

Participant age(s) *

Participant grade level(s) *

What type of experience are you interested in? Please review the table of options below and select the corresponding letter. To better read this table, zoom in by pressing the plus "+" key while holding down the "Ctrl" key. *

A - Virtual

B - Tour of the lab facilities

C - Tour of the lab facilities & career discussion

D - Tour of the lab facilities with hands-on experiences

E - Tour of the lab facilities, hands-on experiences & career discussion

F - Only want to spend time in one specific lab (please specify below) with a hands-on activity

G - Other: none of the options above work (please elaborate in section below)

H - SPARK Curriculum - please submit request via the SPARK web page

If you selected 'Other' please elaborate

How many individuals do you expect to attend? *

Purpose of this visit (e.g. curriculum connection, career exploration)? *

Are there specific topics you would like us to consider focusing on? *

Please propose 2-3 dates for your visit *

What time of day do you propose? *

Morning (suggested times 9 am - 11:30 am)

Afternoon (suggested times 1 pm - 3:30 pm)

Required

Outreach visits with a hands-on component can last up to 2 1/2 hours depending on what's planned. How much time will you have? *

Your contact number (if we need to contact you on the day of your visit) *

Estimated arrival time (To give us an idea of your transportation timeline) *

Time

How did you find out about our program? If "Other" please specify. *

Referral (friend, colleague, state worker, etc.)

Colorado Department of Agriculture Website

Social Media

Past visitor of the labs

Other:

Required

Other

Send me a copy of my responses.

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