Request a Program
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1.
Please provide your name:
*
2.
Please share your email or phone contact information:
*
3.
Please share the topic of the program you are requesting:
*
4.
Please share the type of audience who will be attending the requested program:
*
School group, public
School group, private
School group, homeschool
Youth organization
Adult organization
Other, please specify
5.
Please share the age of the audience that will be viewing the request program:
*
Early childhood
K-2
3-5
6-8
9-12
Higher education
Adult education
Other, please specify
6.
Please share how many students or learners you estimate will attend:
*
7.
Please share the region of Texas you like to see the requested program from:
*
Panhandle
North
East
Gulf Coast
Central
South
West
Please share if you have a specific park in mind:
8.
Please share the program format you are requesting:
*
Virtual: Pre-recorded, on demand
Virtual: Live, interactive
In person
Other, please specify
9.
Please share the time and date(s) you would like to receive this program.
10.
Please share your learning objectives for the requested program:
*
11.
Please share how the requested program will fit into the context of your overall learning goals and/or lesson plans:
*
12.
Please share the specific TEKS or other learning standards you would like addressed in the requested program:
*
Write N/A if this is not applicable.
13.
Please share any materials you will have available for your audience that relate to the requested program:
*
Write N/A if this is not applicable.
14.
How did you learn about this survey?
15.
Please feel free to share any additional information or requests:
Done