Alberta Science Network

Scientists & Engineers-in-the-Classroom Program Request

CAPITAL REGION - Edmonton and surrounding communties

Priority is given to teachers who have had two or less requests filled for their grade in this school year.

ALL visits are subject to volunteer availability.

Please allow at least 4-6 weeks' notice.

Before completing the form please read the scientist visit procedure to understand the process and your responsibilities.

Request a Classroom Presentation in the Edmonton Region

*Required fields are marked with an asterisk.

*Confirm your Region:


*Main Contact Name:
first and last

Main Contact Email:

*School/Organization Name:

*School Board:

*School/Organization address:


*Postal Code:

*Phone Number:


*Teacher(s) Email(s):

Please note: We cannot guarantee specific times or dates but will do our best to accommodate your requests.

*Time of day:

*Preferred date parameters:

e.g. October/November (a 1 - 2 month window is recommended)

*Number of classes:

*Total number of students/participants:

A minumum of 15 students is required

*Grade level:

Split grade classes:

If any of the classes in this request are split grades please give details.


Comments about the request (special considerations?):

*Agree to terms

- I have read the scientist and engineer visit procedure.
- I will ensure that a teacher is present at all times during the presentation to manage   each classroom.
- I will supply feedback promptly.


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