STEM Exploration Reservation Request Form (K-8)

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The Center for Mathematics and Science Education (CMSE) is excited to offer teachers of grades K-8 an easy and convenient way for students to experience and explore the STEM fields through interactive and engaging STEM-focused field trips to the University of Mississippi.

Before submitting a request, please be sure to read through the requirements, pricing, and logistics listed on cmse.olemiss.edu. Please note, completing this request does NOT confirm your field trip - the CMSE will reach out to you to confirm reservations.

Contact Information

First Name *

Last Name *

Preferred Email Address *

This will be the email address that will be used to contact you.

Any other email address(es) that should be cc'ed

Cell Phone Number *

This number will ONLY be used for the day of exploration, if needed. Please use this format: XXX-XXX-XXXX.

School/Group Information

Your role at school/group *

(Classroom Teacher, Principal, Science Coordinator, etc)

School/Group Name *

Please provide the FULL name.

School/Group District

School/Group Phone Number *

Please use this format: XXX-XXX-XXXX.

School/Group Physical Address *

City *

State *

Other:

Zip Code *

County *

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