CUNO classroom visit request
Columbia University Neuroscience Outreach is pleased to offer classroom visits by neuroscientists from September to January each year. This form is for teachers (or other school officials) who would like to request a visit from our scientist volunteers. For more information about CUNO and visits, please see our website, www.columbiabrains.org
Teacher and school info
First name *
Last name *
Position/title
Email address *
Type carefully!
Phone number
(where you can be reached on the day of the visit if necessary)
Name of school *
School adddress *
Please note: Schools located in upper Mahnattan are given priority for visits. We regret we cannot visit all schools in New York City.!
Reason for visit request *
Please describe in 3-4 sentences why you are requesting the visit and how you think your students would benefit.
Have you had a previous CUNO visit?
Clear selection
Request details
You can specify up to three dates for volunteers to visit. Generally CUNO lessons fill a single or double class period, and visits can include multiple classes (e.g. scientists visit all third grade classes in a school). If you request a visit to multiple classes, then please pick a day in which the class schedule for the visit would be relatively compact. In other words, the volunteers' time should be maximized in the classroom, not waiting around between classes.
Grade level(s) of class or group
We visit K-12 classrooms as well as after school groups
Number of sections/classes to visit
For example, "3" = 3 class periods receiving the same material in one day. Sections can be at overlapping times
Approximate number of students per section
First choice date
First choice time
Please enter the beginning and ending times, inclusive of all the sections or classes of the request. For example: "8:15-12:00" could encompass three 45-minute visits for classes starting at 8:15, 9:15, and 11:15 a.m.
Does the first choice have overlapping sections?
In other words, would volunteers be visiting more than one room at a time?
Clear selection
Second choice date
Second choice time
Does the second choice have overlapping sections?
Clear selection
Third choice date
Third choice time
Does the third choice have overlapping sections?
Clear selection
Any additional comments?
Would you like to receive future emails from us? *
Your email address will not be shared with other groups.
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