JBEI Educational Visit Request Form

If you are interested in a tour, but do not have a student group, please contact Irina Silva at isilva@lbl.gov to make arrangements.

Point of Contact Name

This is a required question

Point of Contact Email

Must be a valid email address

This is a required question

Point of Contact Phone

Please include your area code

This is a required question

Name of school, group, or institution

This is a required question

Grade Level (check all that apply)

This is a required question

Number of Students

We cannot accommodate more than 30 students in a single visit. If you are unsure how many students you will have, you may give a range.

This is a required question

Number of adult chaperones

Middle school students need at least 1 chaperone for every 8 students.

This is a required question

Possible Date

Possible Alternate Date

Possible Alternative Date #2

Please describe what time of day works best and any other scheduling notes about your preferred dates and times.

This is a required question

What mode of transportation will your group be using to get to JBEI?

This is a required question

Please provide additional information about your group.

You may wish to include what your goals for the visit are and what background your group has.

This is a required question