Edwards-Yeckel SciChat Request Form 2022-2023
SciChats @ Salk is a video-chat-based science outreach program that pairs students in a classroom (or in an alternative learning setting) with a volunteer scientist for chats about what it’s like to be a scientist, what we work on, and why we think it’s cool. SciChats’ mission is to function as an interactive learning experience for students and a communication exercise for scientists. Requests are subject to scientist availability.
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Name *
Email *
Phone Number *
School *
Subject/s *
Grade level/s *
How many students will participate in the session? *
How many times have you participated in a SciChat? *
Do you have a preferred video chat platform?  Salk Education Outreach will be responsible for sending out the link to you and the scientists. *
Will students be joining the SciChat from individual devices? We like to use zoom polls or Mentimeter questions to make the talks more interactive. *
Session content *
A typical SciChat lasts about 35-50 minutes depending on scientist availability and student engagement. To ensure sufficient time for student questions, choose your top two or three content options from the list below.
Required
If you would like to request a session with a scientist in a specific field or with a specific scientist based on their profile, please describe.
Please note, specific requests are subject to scientist availability. To provide the best possible match, please explain what about this field you'd like to highlight and how it fits into your curriculum/content planning.

To see the main research areas at Salk Institute: https://www.salk.edu/science/research/ 

If you don't see your desired topic, please let us know.  We still might have a scientist that studies your specific topic.
Date of requested session *
Please note SciChat requests must be submitted 3 weeks before a requested date to provide enough lead time to recruit a scientist.  (SciChats requested sooner are subject to availability)
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Time for requested session *
All requests should be provided in Pacific Time Zone
Time
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Second Choice: Date of requested session
Please note SciChat requests must be submitted 2 weeks before a requested date to provide enough lead time to recruit a scientist.  (SciChats requested sooner are subject to availability)
MM
/
DD
/
YYYY
Second Choice: Time for requested session
All requests should be provided in Pacific Time Zone
Time
:
Is there any additional scheduling flexibility or requirements you'd like to share?
Do you have any additional questions or concerns?
Thank you for submitting your SciChat request.  We are  a grant and endowment funded program and need your help in capturing data to assess our program.  After the SciChat, a team member will send you a SciChat Educator Evaluation survey that you are required to fill out within one week of completing the SciChat. The survey usually takes 5-7 minutes to complete.
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Looking for other scientific resources for you and your students?  

Visit out website to access previous Virtual Lab Tours, Science Talks, and other resources.  
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