School Name

Address

City Province Postal Code

Principal Name     School District SD 35SD 36SD 37SD 38SD 39SD 40SD 41SD 42SD 43SD 44SD 45Others

Age Group Elementary     Middle     Secondary     PreSchool     University     Adult     Senior    

Class Grade(s) P     K     1     2     3     4     5     6     7     8     9     10     11     12     Others    

Number of Students

Teacher's Information

First Name Last Name

Email

Phone Cell Phone

Have you previously attended SFU science outreach activities? Yes     No     (If yes, list them in the comments)

How did you did you hear about SFU Science Outreach?(please check all that apply)
 School Principal     Professional Association     Parent     Email     Website     Social media (Facebook,Twitter, etc)     News stories in newspaper/radio/television     Signs, brochures     Advertisement in newspaper/radio/television     Family, friend or colleague     SFU employee     Other    

If other, or a website or media site, please specify the source:

What is your primary reason for bringing your students to this activity?
 Provide science role models     Talk about careers in science     Provide students with exposure to "real" science     Help teach the subject matter     Access specialized facilities and equipment     Have a high quality field trip to a university     Other    - please specify in the comments.

1. Algebraic ReasoningAnimal Pee: Nutrient cycling in marine ecosystemsAsk An AstronomerAstronomy/Telescope WorkshopBiology WorkshopsCatalase and EnzymesChemistry WorkshopsClimate ChangeCosmology for the Curious MindCritical Minerals and Green Energy TransitionDiscover InsectsDNA ExtractionEarth Sciences topicsElectromagnetismElectrophoresisExploring EnergyExploring Kelp ForestsForces and MotionHeat EnergyHuman AnatomyHuman DissectionLasers in ActionLife under the MicroscopeMagic of MathematicsMeiosis and MitosisNewton's Laws of MotionOcean Plastic: impact of garbage Optic Illusion with Electric MagnetsPCR and Gel ElectrophoresisPhysics WorkshopsRocks and Mining in BCSalmon Life CycleStates of MatterTour of the Trottier ObservatoryVertebrate BonesVolcano Explorer

2. Algebraic ReasoningAnimal Pee: Nutrient cycling in marine ecosystemsAsk An AstronomerAstronomy/Telescope WorkshopBiology WorkshopsCatalase and EnzymesChemistry WorkshopsClimate ChangeCosmology for the Curious MindCritical Minerals and Green Energy TransitionDiscover InsectsDNA ExtractionEarth Sciences topicsElectromagnetismElectrophoresisExploring EnergyExploring Kelp ForestsForces and MotionHeat EnergyHuman AnatomyHuman DissectionLasers in ActionLife under the MicroscopeMagic of MathematicsMeiosis and MitosisNewton's Laws of MotionOcean Plastic: impact of garbage Optic Illusion with Electric MagnetsPCR and Gel ElectrophoresisPhysics WorkshopsRocks and Mining in BCSalmon Life CycleStates of MatterTour of the Trottier ObservatoryVertebrate BonesVolcano Explorer

3. Algebraic ReasoningAnimal Pee: Nutrient cycling in marine ecosystemsAsk An AstronomerAstronomy/Telescope WorkshopBiology WorkshopsCatalase and EnzymesChemistry WorkshopsClimate ChangeCosmology for the Curious MindCritical Minerals and Green Energy TransitionDiscover InsectsDNA ExtractionEarth Sciences topicsElectromagnetismElectrophoresisExploring EnergyExploring Kelp ForestsForces and MotionHeat EnergyHuman AnatomyHuman DissectionLasers in ActionLife under the MicroscopeMagic of MathematicsMeiosis and MitosisNewton's Laws of MotionOcean Plastic: impact of garbage Optic Illusion with Electric MagnetsPCR and Gel ElectrophoresisPhysics WorkshopsRocks and Mining in BCSalmon Life CycleStates of MatterTour of the Trottier ObservatoryVertebrate BonesVolcano Explorer

Intended length of the session (in mins):

1st Preferred Date: (dd/mm/yyyy)

2nd Preferred Date: (dd/mm/yyyy)

3rd Preferred Date: (dd/mm/yyyy)

4th Preferred Date: (dd/mm/yyyy)

Do you prefer an in-person activity (either Burnaby or Surrey campus) or a virtual workshop or both? In-person     Virtual     Both    

  For virtual workshop(s) 

Do you prefer Teams or Zoom? Teams     Zoom    

Will students be able to hear or see us? Yes     No    

Are we able to hear or see the students? Yes     No    

Do students have access to mobile devices for virtual interactive activities (ie. Kahoot)? Yes     No