Request edit access
Berkeley Lab Partnership Request Form for Schools and Organizations
Each year, Berkeley Lab partners with select groups in the Bay Area on delivering tailored experiences for post-secondary students to visit the Lab, tour facilities, meet with scientists, and learn about career pathway opportunities. We focus on strengthening partnerships with Bay Area schools and organizations, although we accept partnership requests from any group throughout the year. We cannot guarantee that your group will be able to visit a specific facility upon request.
________________

PARTNERSHIP REQUIREMENTS

We partner with groups that meet the following guidelines:

- Organizations focused on STEM education (e.g., MESA, NSBE, SACNAS, or NABG chapters)
- Students, faculty and staff at U.S. colleges or universities.

REQUIREMENTS TO PARTICIPATE:

- A group must have a minimum of 12 people for a visit.
- A group may be no larger than 30 people in total, including both students and staff members.
- For college groups, there is a maximum of 4 faculty and/or program staff.
(If your group does not meet the requirements, please explain in the "Special requests and/or needs" section of this form.)

Please don't hesitate to contact us at BLEND@lbl.gov with any questions.
________________

Groups whose students are not U.S. citizens or enrolled in a U.S. college or university must go through public tours to request a visit. http://www.lbl.gov/community/tours-faq/tours/
________________

Note: For the BLEND program, Laleh Cote' (LECote@lbl.gov) is the primary contact.

Email address *
This form MUST be submitted by the following dates to be considered as a school partner: April 15 (May-July visits); June 30 (Aug-Dec visits); October 31 (January-April visits). *
Please check the agreement box below.
Required
Primary Point of Contact - Last Name *
Your answer
Primary Point of Contact - First Name *
Your answer
Primary Point of Contact - Cell Phone Number *
### - ### - ####
Your answer
Primary Point of Contact - Email *
Your answer
Partner Organization / School *
Your answer
Organization / School Address *
Your answer
Organization / School City *
Your answer
Organization / School Zip *
Your answer
Organization / School Phone Number *
### - ### - ####
Your answer
Please check the box that best describes your group: *
Required
Special requests and/or needs
Please indicate any special needs or accommodations that individuals in your group may have (e.g., accessibility, language, medical).
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Berkeley Lab (Univ of California). Report Abuse - Terms of Service