JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Interested in a Curious Story for your Curious Children?
This form is for PRIMARY SCHOOL TEACHERS IN THE WEST OF ENGLAND to express an interest in getting a STEM Ambassador in to read a STEM-based story to their class. Please complete as much of the form as possible and we (the STEM Ambassador Hub West England) will begin the process of matching you with an appropriate STEM Ambassador.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is the name of your school?
*
Your answer
What is the postcode of your school?
*
Your answer
Please indicate which year(s) you are interested in engaging with a STEM Ambassador through the Curious Stories activity, and how many classes:
Please tell us about at least one class (i.e. tick at least one box)
1 class
2 classes
3 classes
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
1 class
2 classes
3 classes
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
British Science Week is the 11th-20th March 2022. Would you be interested in taking part in this activity during this time?
*
Yes - I specifically want to take part during British Science Week.
Maybe - I don't mind if we take part in British Science Week or not.
No - I do not want to take part during British Science Week
If there are specific dates that you would like us to try and accommodate, please let us know here:
Your answer
If you have a topic, theme or activity that you would like the story to be part of, please describe it here:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Graphic Science.
Report Abuse
Forms
