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GRILL STEM OUTREACH REQUEST FORM
Form for requesting assistance from GRILL staff
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* Required
Name of person requesting help:
*
Your answer
Email:
*
Your answer
Phone number:
Your answer
School or group with which you are affiliated:
*
Your answer
Position within school or group you are affiliated with:
*
Teacher
Administrator
Counselor
Student
Club leadership position
Club member
Other:
Help request category:
*
Game engines
Arduino/Raspberry PI
Programming languages
VR hardware/software
AR hardware/software
3D modelling
IT related
Other:
Briefly describe the activity in which you are requesting our participation:
*
Your answer
Time of assistance needed:
*
Time
:
AM
PM
Duration of assistance requested:
*
Hrs
:
Min
:
Sec
Date of assistance needed:
*
MM
/
DD
/
YYYY
In-person or virtual attendance:
*
In-person
Virtual
How many GRILL staff members you would like to come participate:
*
1
2
3
4
5
Type this code: 9U3IAC
*
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Your answer
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