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GROW

Expanding Your Horizons
c/o ACE Program
University of California
Santa Cruz, CA 95064
Phone: (831) 459-1975
Email: eyh (at) ucsc.edu
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Page last reviewed
10/30/2007 by webmaster.
 

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UCSC GROW: Teacher Request Form

NEW: In order to better fulfill requests, please submit requests for presentations in the

spring semester(February through June) by January, 2008.

Please enter the following information. GROW staff member will contact you shortly.

General Information:

Your Name:
E-mail:
Phone Number:
Your School:
Age group of students:
Number of students in class:

Please let us know what type of presentation are you looking for, including the subject matter of interest

(be as specific as possible, as this will help us find the best GROW grad to fit your needs).:



Type of presentation/service requested:

Select one or more of the following:
Research-related presentation
Hands-on activity
Presentation on student's path to the sciences/ Grad student life
Direct support to teacher (i.e. graduate student will answer questions via email or phone about a particular topic)
Direct support to student (i.e. graduate student will answer student questions vie email or phone)
Estimated length of desired presentation:
Please specify several dates that would work for a presentation:
Additional Information/notes that would help us choose a suitable presenter:

or

If you have difficulties submitting this form online, please send an e-mail with the information indicated above to grow_grad@yahoo.com .