Headwaters SWCD Education Request Form
Please complete this form to request educational assistance from the Headwaters SWCD. The district will make every possible attempt to honor requests made within a month of the request form being submitted. Request that are made in less than a month prior to the event may not be honored, as they are subject to staff availability.
Please provide your name *
Your answer
Please provide your email *
Your answer
Please provide your phone number
Your answer
Which school system do you represent *
What school do you teach at? *
Your answer
What grade level(s) do you instruct? *
Your answer
What class is the request for? *
Your answer
How many students do you have? *
Your answer
What date(s) are you requesting assistance? *
Your answer
What time of day are you requesting assistance? *
Your answer
How many staff members will you need? *
Your answer
Is this part of a Meaningful Watershed Educational Experience (MWEE)? *
What is the nature of your request? *
What material would you like covered? *
Your answer
Does this correspond to a SOL or a specific learning objective? Please provide the SOL or details *
Your answer
Will you have covered the material with the students prior to the educational experience? *
Should we plan to bring any special supplies or equipment (Enviroscape, models, etc.)? *
Your answer
What other information will we need to prepare for the event? Or other notes?
Your answer
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