2024 Brain Awareness Teacher Survey
UVA Brain Awareness Outreach is an educational outreach program organized and staffed by graduate students and faculty of the Neuroscience Graduate Program and the Department of Neuroscience at the University of Virginia School of Medicine. We provide teachers in our community with FREE classroom presentations from UVA scientists to teach students about the brain and other exciting topics related to psychology and neuroscience. This year, our program will run from March 11th, 2024 through the end of the 23-24 school year.
 
Please fill out this form to request a UVA Brain Awareness Outreach classroom presentation for your class! Contact us at uvabrains@gmail.com with any questions.
Sign in to Google to save your progress. Learn more
Email *
Name *
School *
If you know any other teachers who would be interested in having UVA Brain Awareness Outreach come to their class, please provide their name and email address. 
Class Grade *
Required
Number of Students in Your Class
Best Day and Time to Visit You (First Choice) 

[UVA Brain Awareness Outreach runs from March 11th--End of School Year]

 *
MM
/
DD
/
YYYY
Time
:
Best Day and Time to Visit You (Second Choice) 

[UVA Brain Awareness Outreach runs from March 11th--End of School Year]

 *
MM
/
DD
/
YYYY
Time
:
Best Day and Time to Visit You (Third Choice)

[UVA Brain Awareness Outreach runs from March 11th--End of School Year]

MM
/
DD
/
YYYY
Time
:
Do you want real brains brought to your classroom?
Clear selection
Topics of interest? (This helps our volunteers tailor their presentation content to help connect neuroscience to your current curriculum!)
Topics to avoid?
Would you prefer an outreach format other than a classroom visit? (Ex. assembly with combined classes, lab visit, etc.)
Special Notes/Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms