Alaska Marine Scientist Classroom visit request form
During the week of January 22nd, 2018 scientists who study Alaska's marine environment will be in Anchorage for the Alaska Marine Science Symposium. Scientists may be available during Tuesday through Friday of that week to visit classrooms.

Many visiting scientists are interested in sharing their science to students in the Anchorage area.
Use this form to tell us what subject matter you are teaching, what date/times work best for you.

Note: There is no guarantee that a scientist will be available at the time you choose.

Email address *
What science topics are you teaching? *
Please select the topic that best describes the class you are requesting a scientist for.
Required
What grade level(s) is the class?
This will help the scientist guage their presentation.
What topics have you covered? *
Please select the topic(s) you have already covered in your class, this will help the scientist prepare for their visit.
Required
What day/time is the class you would like the scientist to speak to? *
There is no guarantee that a scientist will be available at the time you choose.
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Is there another day/time a scientist can visit?
There is no guarantee that a scientist will be available at the time you choose.
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Time
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What is your contact information? *
Please give us your name, school address, email and phone number.
What is the school name?
What is the best way to contact you? *
Choose all that apply.
Required
What is the best time to contact you by phone?
Answer only if "telephone" was one of the ways you would like the organizers to contact you.
Is there anything you want to ask the organizers?
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