K-16 Outreach Event Data Form

Questions marked with a * are required

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College of Engineering student organizations, faculty, and staff participating in K-12 outreach are asked to use this site to record data on the number of students reached.

Select one of the following:

TOUR - defined as an activity or event happening on campus (e.g., lab tour, activity, presentation)

VISIT - defined as an activity or event happening off campus (e.g., at an elementary, middle or high school)

Date of the TOUR or VISIT

School Contact - the person who is requesting or requested the tour of the College or visit to the high, middle or elementary school

First Name

Last Name

Phone

Email

School or organization Name:

School District:

Grade Level (select all that apply):

K-2nd grade

3rd-5th grade

6th-8th grade

9th-10th grade

11th grade

12th grade

Other:

Community College

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