Application for schools & educational institutions for EPSC 2021

Application for schools & educational institutions for EPSC 2021

Please fill in the form below if your educational institution or class would like to participate in EPSC 2021 activities. We will record your expression of interest and you will receive - in late September 2021 - more information on the detailed program and on how to participate.
ABOUT THE INSTITUTION
Name of the institution *
Full name
City *
Country *
Time zone *
ABOUT THE STUDENTS
Age of the students *

Secondary school (class of 12 years or older) High school (13-18) University students (18+)
Language of the students (please specify both native language and any other language the students can understand) *
CONTACT INFORMATION
Email of a teacher *
example@example.com
Other contact information (optional)
e.g. phone number, Whatsapp, etc.

Please check below your preferences *

	Yes	No
The teacher is able to speak and understand English
I am interested only in live events
I am interested in both live & pre-recorded events
I agree to be notified of future educational opportunities for science outreach offered by Europlanet Society and Lecturers Without Borders
My contact details and the information provided here may only be used for the organisational details of the EPSC events and for no other purpose

THANK YOU VERY MUCH FOR REGISTERING!

We will contact you very soon with more information about the event.
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