Astronomy Live! Outreach Visit Request Form
PLEASE READ THE FOLLOWING CAREFULLY BEFORE FILLING OUT THIS FORM.

Astronomy Live! is proud to present "Science Fridays" where our volunteers come to your school to perform demonstrations in a 1-hour presentation. Please note that due to UCLA course scheduling, our volunteers are best able to serve the community on Fridays. We are now accepting applications for the 2019-20 academic year. Our programs best suit audiences of 30-60 students.

"Science Fridays" is a series that is *only active during the months of January through June* (please do not request dates outside of this range). During the Summer and Fall, Astronomy Live! is busy preparing for our annual open house, Exploring Your Universe (EYU), which typically takes place on the first Sunday of November. See the link below for more details. In lieu of a fall elementary school visit, we cordially invite you to attend this open house for a day of family fun and learning.

Astronomy Live! is a separate entity from the UCLA Planetarium. Please email planet@astro.ucla.edu for planetarium inquiries.

Applications need to be submitted at least 60 days in advance to allow time for review and planning.
Contact Information
First Name *
Last Name *
E-mail Address *
Phone Number *
UCLA Contact (optional)
School or Organization Name *
School or Organization Address *
Is this a Title 1 school? *
If this is not a Title 1 School, what other information can you provide about the diversity of your student body?
Event Details
Would you like to visit UCLA or would you like our volunteers to come to your school? *
While we will review all applications, it is generally not possible for us to travel more than 15 miles from UCLA's campus.
Required
If you would like to visit to UCLA, can you provide your own transportation to campus?
Do you have a specific date for your request? *
If you are requesting a specific date, please make sure to enter the date below.
Please select a date for your outreach event. *
Due to class scheduling, FRIDAYS are the best day of the week for our volunteers to come to you school. Please note that all applications should be made AT LEAST 60 DAYS PRIOR to the requested event. It is difficult for us to arrive before 10 am for transportation purposes.
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Please select a second date for your outreach event. *
This option will only be used if we cannot accommodate your first date choice.
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Time
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Please include any additional availability details that may help us to better accommodate your event. Let us know if a specific day or time of the week is best.
How many students would be participating in the event? *
Generally we can accommodate up to approximately 60 students (two groups of 30).
What is the age/grade of the students in your group? *
How long would you like the outreach program to last? *
Programs are typically 1 hour, not including setup and cleanup.
Which activities would you like to see (min. 3)? Select all that apply. *
Required
If required, would you be able to provide:
Is there anything else we should know about your school or students? Let us know if your students are ESL learners or have special needs. If you have any other details or requests you would like to include in your application please list them here.
If our program is not suited to your schedule or event, what type of outreach did you have in mind?
We can help to connect you with other outreach resources on campus (Biology, Chemistry, Mathematics, etc)
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