Beaver Hangouts School/Classroom Application
This application is for K-12 programs, schools, or classroom teachers interested in participating with the Oregon State University Beaver Hangouts program. Please be sure to complete all fields.
First Name of Contact:
Your answer
Last Name of Contact:
Your answer
School or Program Name
Your answer
School or Program Location (city)
Your answer
Phone Number
Your answer
Email Address
Your answer
Preferred Method of Contact
Your answer
Is your school a part of Oregon GEAR UP?
Is your class a part of OSU's SMILE Club?
How many of your classrooms are interested in participating in Beaver Hangouts?
Number of students per class:
Your answer
Does your class run for a full academic year?
Grade level(s) of interested classrooms:
Check all that apply
Required
Please give an estimate of the percentage of students in your classrooms that fall under each category below.
0-10%
11-25%
26-50%
51-75%
76-100%
Potential First Generation College Students
Qualify for Free or Reduced Lunch
Underrepresented Minorities
What cultures and ethnicities are represented by your students? Please give an estimate of percentages of each group.
Your answer
What date are you available to start the Beaver Hangouts program?
MM
/
DD
/
YYYY
In order to participate in Beaver Hangouts, you must have access to a videoconferencing platform on your school's server. Please indicate your current status:
Check all that apply
Required
In order to participate in Beaver Hangouts, you must have access to a computer and webcam. Please indicate your current status:
Check all that apply
Required
The Beaver Hangouts Program mainly uses Skype. Please list a Skype Username to be used for your classroom sessions. (or username for google hangouts)
Your answer
Is there anything else you'd like us to know?
Your answer
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