New Organization
Please fill in the information below so we can get you in our system to set up programs. If you are already in our system - you've done programs with us in the last 5 years - you can still use this form to inquire about setting up programs, it just isn't necessary unless you need to update your organization's information.
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Email *
School's/Organization's Name *
Organization's Level *
Organization's Type *
If your organization falls under more than one category, please choose the main category that it is. For example, ABC Elementary is a public school and  wants to set up an after school program. Please choose "Public School", even though we will be setting an up an after school program. However, if the organization is does after school programs, please choose "After School" - even though it may be held at a local public school.
Other
Organization's Full Location Address *
Street, City, State, Zip ~~Where the programs will be conducted. If you are planning on multiple programs at multiple locations, make note of it in the notes section and it will be taken care of in follow up emails. Give the main address here. If invoices need to be sent to a different address, headquarters, make note of it in the notes section.
Organization's County *
Organization's Main Phone Number *
xxx-xxx-xxxx
Organization's Class/Program Hours *
For example the children/participants are in attendance 8am-2pm - even though office hours may be 7am-4pm.
Bookkeeper's Full Name *
Full = First Last. If yourself is the bookkeeper, then put "self". If you use another group, like a business support center, then please state that.
Bookkeeper's Phone Number *
xxx-xxx-xxxx - If it is the same as the main number, just put "same as main".
Bookkeeper's Email Address *
If it is the same as yours, the Coordinator, just put "coordinator".
Coordinator's Full Name *
Full = First Last. This could be yourself, or the person you are setting this up for. If it is not yourself, please note in the notes section your email if need us to respond to you as well or in place of the coordinator.
Coordinator's Phone Number *
xxx-xxx-xxxx - If there is an extension, please make note of it by putting "ext # xxx".
Coordinator's Email Address *
Coordinator's Mobile Phone Number *
xxx-xxx-xxxx - This is especially important for any kind of field programs or programs that aren't in a regular classroom setting. The instructor of the day may need to contact the coordinator in regards to weather conditions or emergencies.
Program Name/Science Topic/Theme Interested In *
If you know the Science Eye program's name, please list it. If you have a science topic or theme you are interested and want to know which program would best accommodate you, list it. If you are interested in more than one, list them all. Besides the programs that are listed as our regular programs, other programs may be available upon discussion - hence "Exclusive Studies" and "Exclusive Field Studies".
Program Dates Interested In *
mm/dd/yyyy - We will do our best to accommodate you, however our schedule must be checked for availability. List the exact or even general dates you would like to do the programs. Depending on your group's size, multiple dates may be needed.
Number of Participants &/or Classes *
Please state the number of estimated participants and classes. This will help us better determine how many sessions and/or days needed to accommodate your group based on the program(s) you are interested in. For example you have 180 students and 9 teachers in 9 classes... 24 children, 3 adults in 1 group... 540 children and 50 adults in 5 locations (if you have multiple locations and know the approximate number at each location, you can put that here or wait until more details are discussed)... etc.
Notes *
If none, put "NA". Anything you need to draw our attention to, for example, but not limited to: headquarter's mailing address if different from where the program will commence, the simple fact there will be multiple program locations, your email address or phone number if it is different from the Coordinator's, is the entire group (or certain classes) advanced/below average for the particular grade level, special needs, handicaps, the necessity of wheelchair accessibility, special studies related to the program you have chosen, etc... Details can be discussed at a later time, but this information is helpful in order to return in an email.
A copy of your responses will be emailed to the address you provided.
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