Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

2023/2024 Classroom Program Request Form

  1. About Classroom Programs

    • Programs are available for 3rd, 4th, and 5th grade classes.
    • Programs are 90 minutes in length.
    • Programs are offered on a first come, first served basis. 
    • Programs are offered in person; a limited number of virtual programs are available upon request.
  2. Teacher Information

  3. Are you signing up for multiple teachers?*
  4. School Information

  5. Is your school a Title 1 school?*
  6. Scheduling Information

    Our goal is to reach multiple classes in a day when possible. Please coordinate with other teachers on scheduling.

  7. Preferred months of the school year
  8. Preferred days of the week
  9. Please be as specific as possible, keeping bell schedules in mind. Having specific 90 minute timeslots (e.g. 8:30am–10:00am) allows us to offer multiple programs a day without large breaks at a single school.

  10. Are you requesting an in-person or virtual program?*

    Only one classroom program is available per class per school year; either one virtual program or one in-person program.

  11. We ask that you make our instructors a temporary host on your account so they can conduct the program, share their screens, etc.

    Please note: For virtual programs, we have found it beneficial for learning to cap virtual classroom programs to no more than 40 students, so if you have four grade-level classes, we recommend four classroom programs.

  12. How will students participate?*
  13. Accommodation Information

  14. You're almost done!

    Select the option to email yourself a copy for your records below and submit the form. More details on the next page...

  15. Leave This Blank:

  16. This field is not part of the form submission.