Request a Classroom Visit - Pennsylvania Society for Biomedical Research

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Classroom Visit Request

Request a SPARC Classroom Visit to Your School. All presentations are interactive and are tailored for the age-level, class time, and the topic(s) requested. This form can also be used to request a Career Day visit.

GENERAL TEACHER AND SCHOOL INFORMATION:

Name*

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Email Address*

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Confirm Email Address*

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School/Location*

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School Street Address*

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City*

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State*

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County*

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Zip Code*

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Phone Number (xxx-xxx-xxxx)*

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SPECIFICS OF CLASSROOM REQUEST:

Grade Taught*

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Subject Taught*

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Requested Date(s) of Visit [Note, we do our best to accommodate each request on a first-come-first-serve basis and will reach out directly to finalize the actual day(s)]*

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Total Expected Number of Students Participating*

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Total number of classes during each visit (for example, one class or perhaps four back-to-back classes during the day.)*

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Time(s) of ALL class(es) you'd like SPARC to visit*

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Preferred Topic(s) for SPARC's visit: [Please check all that apply; Note, all presentations are tailored for the age-level, class time, and topic(s) requested.]*

Hands-on SPARC science lesson. NOTE: If you check this option, please choose from the available lessons in the next question.

Understanding Animal Research (animal models, importance and ethics of working with animals, etc.)

Careers in Biomedical Science (career fair, classroom presentation, etc.)

Other (ie. reinforce classroom instruction; please provide additional information below in comments section)

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Please choose up to 3 lessons from the list at the right. Additional information about each lesson can be found using the PDF link below.

DNA Extraction and Modeling (all grades)

Career Guidance (all grades)

Micropipette Art (Gr. 1-10)

Microscopy (Gr. 1-6)

Think, Sense, Move (Gr. 3-6)

Flies on Ice (Gr. 6-10)

BYO Gel Electrophoresis (Gr. 6-10)

Case of the Broken Beaker (Gr. 6-10)

Mystery of the Crooked Cell (Gr. 6-10)

BioBits (Gr. 8-12)

A Roundabout We Go (Gr. 8-12)

GMO Identification (Gr. 10-12)

Scanning Electron Microscopy (Gr. 10-12)

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Click here to view a PDF of the descriptions for each SPARC lesson listed above.

In an ideal world, how many SPARC visits would you like this year? (please note, we may not be able to fulfill every request)*

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How did you learn about PSBR's classroom visits?*

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ADDITIONAL INFORMATION:

Percent of students that identify as: (Only include numbers in the boxes below.)

Male*

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Female*

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Non-binary*

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Other*

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Percent of students that identify as: (Only include numbers in the boxes below.)

White*

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Black*

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Hispanic or Latino*

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Asian*

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American Indian or Alaska Native*

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Native Hawaiian or Other Pacific Islander*

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Other*

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Percent of students classified as Title 1: (Only include numbers in the box below.)