Teacher Training Planning Form

Please complete the following information at least two weeks in advance of your desired Teacher Training date. The Education Coordinator will contact you to confirm a date and time for your visit within three business of receiving the form. Please note that completing this form is NOT a reservation for your presentation.

Please contact education@scraphumboldt.org with any questions. 

First Name*:
Last Name*:
School or Educator Group*:
Phone*:
Alternate Phone:
Email*:
School Street Address*:
City*:
State*:
Zip*:

Desired date of training

Option 1*:
Option 2*:
Option 3*:
Number of teachers (max 10)*:
The creative reuse activities we do often have a theme. Do you have a preference for the theme or focus of your activity?:
How did you hear about us?: