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Title

First Name

Last Name

Email

Phone Number

Personal Email

Some school districts have strong firewalls. Please include a personal e-mail as a backup.

Grade Level(s)

Number of Students

School Name

School Street Address

City

Province

Postal Code

What topic you would like the geologist to cover during the presentation?

Please list your top 3 topics in order of interest. The presenter will do their best to incorporate your second and third topics based on amount of time available.

Preferred Date(s) and Time(s)

Please note that this workshop is 25 to 60-minutes long and can be adapted to class schedules. Availability is subject to volunteer work schedules. Please be as specific as possible.

Comments

Please specify if you are looking for an in-person Geoscientist only.

AV Requirements

This program will require access to the internet and the ability to receive and transmit both audio and video.

I understand

How did you hear about MineralsEd?