K-12 STEM Exposure Excursion Request Form

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The Center for Mathematics and Science Education (CMSE) at the University of Mississippi is excited to partner with K-12 teachers to provide valuable learning experiences to students through the STEM Exposure Excursion Program! The purpose of this program is to generate interest in and expose K-12 students to STEM education and the University of Mississippi. Through this program, the CMSE provides coordination and logistical assistance to teachers by creating a day of STEM-focused opportunities while getting the most from the visit to campus.

Contact Information

Teacher First Name *

Teacher Last Name *

Preferred Email Address *

This will be the email address that will be used to contact you.

Cell Phone Number *

This number will ONLY be used for day of excursion, if needed. Please use this format: XXX-XXX-XXXX.

School/Group Name *

School/Group Phone Number *

Please use this format: XXX-XXX-XXXX.

School/Group Mailing Address *

City *

State *

Other:

Zip Code *

County *

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