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STEM & Leaf - Program Request & Availability Form
STEM & Leaf is currently scheduling Spring–Summer 2026 programs. Complete this form to request programming and secure consideration for available dates.
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Organization Information
Organization/School Name
Your answer
Contact person
Please include Email + phone
Your answer
Program Interest
Program Type
Check all that apply
After-school
Spring Break
Summer Camp
Classroom Enrichment
Single Day Event
Scheduling & Capacity
Preferred Program Dates/ Days Requested
Please list preferred dates or date range.
Flexibility on Dates
Very Flexible
Somewhat Flexible
Fixed Dates Only
Clear selection
Preferred Timeframe
Spring 2026
Summer 2026
Ongoing
Other:
Group Size
Estimated number of students
Your answer
Group Demographic
Co-Ed
All Girls
All Boys
Grade Levels
Your answer
Budget
Do you have a budget allocated?
Yes
No/Not Yet
Clear selection
If yes, estimated range:
under $1,000
$1,000 - $3,000
$3,000 - $7,500
$7,500+
Clear selection
Final Question
What would make this program a success for your students or organization?
Your answer
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