STEM Exploration Reservation Request Form (K-8)
The Center for Mathematics and Science Education (CMSE) is excited to offer teachers of grades K-8 an easy and convenient way for students to experience and explore the STEM fields through interactive and engaging STEM-focused field trips to the University of Mississippi.

Before submitting a request, please be sure to read through the requirements, pricing, and logistics listed on cmse.olemiss.edu. Please note, completing this request does NOT confirm your field trip - the CMSE will reach out to you to confirm reservations.
Contact Information
First Name *
Your answer
Last Name *
Your answer
Preferred Email Address *
This will be the email address that will be used to contact you.
Your answer
Any other email address(es) that should be cc'ed
Your answer
Cell Phone Number *
This number will ONLY be used for the day of exploration, if needed. Please use this format: XXX-XXX-XXXX.
Your answer
School/Group Information
Your role at school/group *
(Classroom Teacher, Principal, Science Coordinator, etc)
Your answer
School/Group Name *
Please provide the FULL name.
Your answer
School/Group District
Your answer
School/Group Phone Number *
Please use this format: XXX-XXX-XXXX.
Your answer
School/Group Physical Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
County *
Your answer
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