Education Program Assistance Request Form

Education Program Assistance Request

Teachers and other educators can submit requests for chapter assistance with special nature-related learning activities or events for children by completing this form and selecting the submit button. Starred entries are required before form can be submitted. Submissions will be sent to an Education Committee representative for committee review. It may take a few days to receive a response, so we appreciate your patience. Please submit form at least 2 months in advance of the date you would like assistance.

Date of request*
Your name*
Your email address*
Your direct phone number*
School or Organization Name*
School or Organization Address:*
School or organization's office phone number*
Grade level of students*
Number of students*
Number of teachers or other adult supervision (Please specify if teachers)*
Lead person (if other than you)
Lead person's email address (if other than yours)
Lead person's direct phone number (if other than yours)
Secondary contact person's name
Secondary contact person's phone number
Secondary contact person's email
Name or theme of activity or event*
Date or dates of proposed activity or event. Please list more than one date for optimum scheduling flexibility by our volunteers.*
Start and end times of proposed activity or event
Location of proposed activity or event*
Additional information helpful for planning purposes*
Materials and equipment provided by school or organization*
Type of assistance requested from Rio Brazos Chapter of the Texas Master Naturalist program*
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