2023-24 Leo on Wheels Application Form

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Thank you for your interest in our Leo on Wheels (LOW) program! LOW is designed for 7th grade science classes in Utah public and charter schools. At this time, we can visit a school once per year and up to two classrooms at a time, so please coordinate with your fellow teachers accordingly (we may not be able to accommodate every teacher/class).

We aim to reach every Utah middle and junior high school in a 3-year rotational period (by district). You may be put on a waitlist if it is not your district’s year. If you are unsure of when that is, send us an email before applying.

Please complete this application form at least 2 weeks before your preferred date. Our Education Team will contact you to confirm your booking. If you have any questions, please email us at education@theleonardo.org.

Main Teacher's Name *

Main Teacher's Email *

Additional Teacher's Name

Only enter if an additional teacher's classes are being applied for.

Additional Teacher's Email

School Name *

School District *

School Address *

School Phone *

Is this a Public or Charter school? *

Public School

Charter School

Is this a Title I school? *

Yes

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