Let's Talk Science at Queen's University - Activity Request Form 2023-2024
To request a Let's Talk Science visit from our volunteers, please fill out the following form.

A reminder that we are a volunteer-based organization, and that although we try to meet all requests, we cannot guarantee a visit. A coordinator will be in touch with you once you have been matched with a volunteer. Please give us at least 2 weeks' notice for your request.

For a list and description of our offered kits, please see our website: https://letstalkscience.ca/outreach/queensu/workshops

If you have any questions or concerns please e-mail us at talksci@queensu.ca.
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Contact/Educator Name *
Email Address *
Is this visit for a classroom, community group, or after school program? *
School/Community Group Name *
Location/Address
City *
Grade(s) *
Number of Students *
Preferred Visit Date and Time *
Please allow for two weeks' notice for your request.
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Time
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Alternate Dates *
If possible, please provide a general preference for your visit (e.g., "any Tuesday morning in October", "Monday afternoons and Wednesday mornings are best" or "any day as long as it's in the morning"). If your visit must be completed on your preferred date and time please let us know.
Visit Duration *
Time allotted for the requested visit (e.g., 40 min, 1 hour, 2 hours)
What type of visit are you looking for? *
Please provide a brief description of how you envision this workshop.
*
We offer different styles of workshops depending on the audience group. Is it classroom style (full workshop) or drop-in style where students will be coming and going (booth activities)?
Preferred Workshop *
A brief description of our available workshops can be found here: https://letstalkscience.ca/outreach/queensu/workshops
Required
Do you have any accessibility requirements that we should know about?
[Grades 4-12 only]  Would you like to complete the Youth Impact Survey after the workshop?
*
The Youth Impact Surveys will be used to measure the impact our volunteers have on the youth we reach. The surveys are the best tool we have to understand the unique needs of youth and educators in order to improve our programming. Each student in your class will need to fill out the form after the workshop event - this can be done at your own convenience.
Any additional information?
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