Education Program Request Form
Please complete this form to request a consultation with Great River Greening for an educational program. We realize that you may not have some of the following information finalized, but any information you can provide us in advance will help us to better assist you. 

If you have any questions, please contact Jessica at jdrummond@greatrivergreening.org
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Educator Name
School Name
School Address
Cell Phone (for day-of communication)
Educator Contact Email
Have you volunteered with Great River Greening?
Have you organized an educational experience for your group with Great River Greening in the past?
Number of students
Number of teachers
Number of adult chaperones
Grade level (can select all that apply)
Please select a topic/activity for your program
List curriculum goals to cover.
Please select your preferred timing for programming. We recommend looking as far ahead as possible.
Please select a general location for programming
Please let us know about any student needs or accommodations.
Do we have permission to take photos/video of the students for promotional materials or to share with funders?
School Demographics (Optional, but this information can help us with grant funding requests and follow up).
Please indicate School Title One status and Free/ Reduced Lunch Percentage.
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