Teacher Workshop Request Form
Thank you for expressing an interest in our program. Please complete this form in order to begin the process for planning the desired professional development opportunity. Once this form has been submitted, a representative from the Educator Resource Center (ERC) will contact you to finalize the workshop date and details. Thank you!

By submitting this form I confirm I am at least 13 years of age and agree to the IV&V ERC Privacy Policy located at the URL: https://docs.google.com/document/d/1D0pC7Lf6KaPEYSaK71AJ48_C5GAvMQDWZKcVHB86xrY/edit?usp=sharing

While we currently are limited in our ability to do in-person workshops at NASA IV&V's ERC due to COVID-19 policies, we are able to travel to your location for a workshop of 10 or more adults. You may also request virtual webinars using the links below:
Educator Webinar Request Form: https://forms.gle/m7zDNZ43HTUmcaFr7
Student Webinar Request Form: https://forms.gle/xBeVjy19EukDodt36
ERC YouTube Channel: https://www.youtube.com/channel/UCnqC9n_HAfoHoCumYhW_Qbw 

We can only deliver in-person workshops within the state of West Virginia.

***Note: Some Loan & Learn kits may be unavailable for training due to ERC safety policy regarding COVID-19.
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Contact Name *
With whom will we be communicating to arrange the workshop/s?
Phone Number
E-mail Address
Contact Preference *
Required
Select County *
Where are you located?
Workshop Title *
Which workshop/s are you requesting? (Select all that apply)
Required
Participant Count *
How many participants will be attending the workshop/s? [Workshops taking place near you (instead of at the ERC) have a minimum requirement of 10 participants.]
Workshop Location *
Select all that apply
Required
Location's Address
Please provide only if you wish to have a workshop away from the NASA ERC
Also, please describe the location's work space.
Workshop Schedule *
Workshop Time
How much time is available for each workshop? Most workshops require 4 hours. Others (such as Robotics and Model Rocektry) are detailed and require 6 hours.
Please list your desired workshop meeting dates and times. *
Example: Basic Rocketry 11/12/13 4-7 p.m. and GPS 11/13/13 4-7 p.m.  Example: ASAP any time!
Additional Information
Please describe any extra information or ask any questions that may be useful in successfully completing the process of workshop registration.
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