REQUEST FOR SCIENCE ADVISORY 2006-2007
Today's Date: (example: 01/29/59)
Name (and/or Number) of School:
Address: City: State: Zip:
Phone: (format: xxx-xxx-xxxx) ext. Fax: Email:
School Contact Person: Alternate Contact Person:
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What month would you like to schedule the advisory:
Undecided Call to discuss January February March April May June July August September October November December (Note: we can not guarantee that we will be able to meet this criteria, but need it for general scheduling purposes)
Who will this advisory be for:
Teachers Only Students Only Both Teachers and Students
Please answer the following four (4) questions so we can better understand your needs and situation:
Has your school or organization ever held a Science Fair before?
If yes, approximately when was your last fair?
Last year Year before last 3 years ago Greater than 3 years ago Do not know when the last fair was held
Has ESC ever provided your school with an advisory?
If you already have a science fair already scheduled, what is the date of the fair?
(Note: if you need judges for your fair, click here to complete a Request for Judges form.)
Please complete this form and click the submit button below. Note: clicking the reset button will erase all values in the form.
Contact Trish Holloway at 574.7272, ext. 224 or ExperienceServesCommunity@yahoo.com with any questions about this form or science fairs in general.
THANK YOU!
Last Updated: 12/08/2006 09:25 PM
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