TRSA Outreach Request Form
The Tulsa Regional STEM Alliance is happy to provide outreach for your STEM related educational events. All requests must be made at least 2 weeks in advance.

Completion of this form does not guarantee your request is booked. You will receive a confirmation from TRSA confirming your booking. Outreach requests are processed and scheduled once a week at weekly staff meetings. Booking depends upon the availability of staff and resources to fulfill requests. If you have any questions, please feel free to reach out to emily.mortimer@tulsastem.org.

If you prefer to borrow STEM materials for your event and do not need TRSA staff facilitation, please visit our STEM Shoppe Loan Request Form: https://forms.gle/RgTrJ1ggDkYdUdac9.

Contact First Name *
Your answer
Contact Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Organization Requesting Outreach *
Your answer
Event Address *
Your answer
Event City, State, Zip Code *
Your answer
Event Title *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Please tell us a little about your event. *
Your answer
Participant Age Range *
Your answer
Is this a family event? *
Number of Participants Expected *
Your answer
What type of outreach are you requesting? *
How do you foresee TRSA contributing to the success of this event? *
Your answer
How did you hear about TRSA?
Submit
Never submit passwords through Google Forms.
This form was created inside of Tulsa Community Foundation. Report Abuse - Terms of Service