Classroom Workshop Request Form
Name of School or Organization
Type of Organization
Non-Profit 501C3 Organization
For Profit Business
Other (Please describe)
Best Time to Contact You
Preferred Method of Contact
Desired Date/Time of Program
The Kiva Center generally conducts School Outreach programs on Mondays, Tuesdays, and Fridays. We will most likely be able to accommodate program requests that fall on those days.
List 3 Desired Program Dates in Order of Preference
Start time of program
End time of program
The Kiva Center offers the following pre-designed workshops AND works to tailor program topics to fit your specific needs. Please indicate which of the following workshops you would like to schedule. If you prefer the topic to be uniquely tailored to your classroom, indicate the category that you wish to explore.
Meet our Microorganism Friends (K-5)
Healthy Soil, Healthy YOU (K-8)
Ecological Garden Design (6-12)
From Trash to Treasure: Eco-Bricks
Other Categories (for individually-tailored workshop)
Water Collection Techniques
Edible and Medicinal Plants
Traditional Living/ Survival Skills (shelter-building, water-filtration, weaving, clay)
Protect the Pollinators
Is there a specific reason why your group is requesting a workshop from The Kiva Center? (such as teaching unit, community project, etc.)
Age of Participants
Number of Participants
How did you hear about The Kiva Center's School Outreach Program?
E Movement Website
Kiva Center Website
Any additional information that we should know:
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