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School Community Engagement Form: Incursions
**All of your personal information will remain strictly confidential**
Email *
Contact person *
School Name *
Address *
Phone number *
Student cohort attending the incursion *
Required
Multi-age/composite class groups
Clear selection
Total number of students attending *
Total number of class groups attending *
PLEASE NOTE: Thursday only availability until further notice.
Preferred date of incursion 1 *
Please provide ALL three dates
MM
/
DD
/
YYYY
Preferred date of incursion 2 *
MM
/
DD
/
YYYY
Preferred date of incursion 3
MM
/
DD
/
YYYY
Incursion focus/topic *
Required
If you would like a tailored incursion, what is your learning focus?
Please include relevant learning focus and understandings that your unit is covering.
Please indicate the kind of room the incursion will be conducted in.
Please note: Access to a smart TV or projector is required as well.
Would your school community be interested in further information about:
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