BrainReach - School Registration Form (2022-23)
Please fill this form before October 14th, 2022.

Thank you for registering your school for our BrainReach neuroscience workshops!  Please note that due to the high volume of registrations, we might not be able to find a volunteer for every school. However, we will do our best to try to find a volunteer for as many schools as we can.

We will contact you in late October to confirm your registration. BrainReach workshops will begin in December or January, as our volunteers will undergo a series of training during the fall. All workshops are prepared for grade 4 and grade 9.

PLEASE NOTE: Our goal for the 2022-23 school year is to offer in-person workshops. However, the situation may change and we can also offer the possibility of online workshops. We successfully presented online workshops over the past two years (2020-22), so we are confident that we will be able to complete the program (in-person or online) with you no matter what.

If you have any questions or comments, please do not hesitate to contact us!

CONTACT INFO:
High schools: brainreachhs@gmail.com
Elementary schools: brainreach.elementary@gmail.com

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GENERAL INFORMATION
School name *
School address *
School phone number *
School principal *
Name of contact person for BrainReach workshops *
Phone number of contact person *
Email address of contact person *
(Please provide an email address that you use most often)
Role of contact person *
(Principal, teacher, science consultant, etc)
Which method of contact will be the best for the volunteer to contact you to schedule workshops? *
How many years have you been receiving BrainReach workshops? *
Do you have access to a microscope in your classroom? *
If you participated with BrainReach last year and you would like the same volunteer(s) to do the workshops again this year, please indicate their name(s) here.
How many groups would you like to register to receive BrainReach workshops? *
Please indicate the number of students in each group *
Please indicate which day of the week and the time you would like us to give the workshops *
If you can provide us with several options, it will help us match your class with a volunteer.
What is the duration of the class in which the volunteer will have to give the BrainReach session? *
example: 45 min, 60 min, etc
If you are registering more than 1 group, will there be multiple contact people? If yes, please add their name and email address. *
This is to make it easier for the volunteer to contact the teacher they will be working with and to make scheduling of workshops more efficient.
Will you have a computer available in the classroom?
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Will you have a projection screen available in the classroom?
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Are there any particular requests?
Example: Are there months you would not like presentations, do you want a specific number of presentations other than 8 (for Grade 4), do you prefer online presentations only due to COVID-19, etc.
Please indicate if your students will be learning about the human body or the brain during the scholar year? Is there a topic you would like us to cover during the presentations? *
Would you like to open up science modules given by a scientist to Grades 5 and 6 at your school? Modules would include Physics and Chemistry (activity sample: learning about comets with dry ice) *
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