Community Outreach Request Form
* Required
Email address
*
Your email
Your Organization
*
Ex: Board Games Club, ABC Middle School, XYZ Library, Math 2 Class
Your answer
Address
*
Your answer
Contact Name
*
Your answer
Contact Title/Role
*
Your answer
Request
I am interested in
Choose
Bringing a speaker from KCWiT to my class or event
Having KCWiT host a booth at my event
Help running an Hour of Code Event
Finding technology volunteers or mentors for my event
Partnering with a current program for kids
Partnering with a current program for women/adults
None of the above
Comments
What else do you want us to know? (If you chose None of the Above on the previous question, explain your request here.)
Your answer
Eligibility
Leaving these answers blank will NOT automatically disqualify your request.
My organization or program supports women, girls, minorities, or children from a disadvantaged background
My organization gives KCWiT permission to speak about our other programs at your event: CoderDojo, Tech sHeroes, Coding & Cupcakes, etc.
I give permission to use my contact information so KCWiT's members can connect with me directly.
This request is for elementary, middle, or high school students
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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