"Zoom a WiSE Woman" Virtual Outreach Teacher Form
Are you a teacher, school faculty member, or organization that is interested in having real scientists and engineers speak with your students about the work they do? We would LOVE to connect you with one of our WISE members through the "Zoom a WISE Woman" program! Please fill out this short survey and our Outreach Team will contact you to connect!
Email address *
Name *
Please provide a second e-mail address as a back up.
Please provide a phone number we can reach you at (optional)
What school or group are you from? *
Where is your school or group located? (City, State) *
Approximate Grade Level(s) of students we would be working with *
Will you require someone who can speak another language other than English? If so, please specify.
Do you have a topic/STEM unit/lesson you are specifically covering?
Do you have any preference to what type of engineer/scientist volunteer we match you with (ex: chemist, biologist, mechanical engineer, aerospace engineer, etc)? We can't guarantee this, but we will try our best
Would you be interested in a panel of scientists/engineers (more than one WiSE woman from a variety of content backgrounds)?
Clear selection
Is there anything else you would like us to know about your request?
Thank you for your interest in the Zoom a WiSE Woman program! Someone from our Outreach Team will contact you as soon as possible to begin planning a session with your students!
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Texas A&M University. Report Abuse