Submit a request to Calgary Science Network
Complete this form to submit a request to Grande Prairie & Area Environmental Sciences Education Society  (GPESES)
**Required Information

**Your Name, First:

  

**School/Organization:

**Your Name, Last:

  

Teacher:

School Board:

 

**Email:

**Phone Number:

 

**City:

**Address:

Please Note: We cannot guarantee times or dates but will do our best to accommodate your requests.
(allow 4-6 weeks notice so that we can find the best match)

**Approximate date of presentation:
e.g. October/November, mid-December, early May, spring

 

  

** Time of day:


e.g. 9 a.m., afternoon, anytime 		   

Number of Presentations:

Number of Classes:

Total number of Students/Participants:

Grade Level:

Event:

**Topic:

Comments about the request (special considerations?)

  

Description of the request
 
**

I understand that a teacher must be present at all times during a scientist visit, and in charge of classroom management. I will supply feedback to GPESES promptly.