Aurora Water Youth Education Classroom Presentation Request Form - PDF document

Aurora Water Youth Education Classroom Presentation Request Form Please note:  Aurora Water’s Classroom Presentations are offered to schools located in the City of Aurora  A two week notice is preferable for classroom presentations.  Teacher needs to remain in the classroom throughout the presentation.  Please contact us at nbrower@auroragov.org or 720-427-6029 if we have not responded to your request in 2-3 days Contact Person Information Name: __________________________________________ Phone: ________________ Email Address: ___________________________________________________________ Select Grade Level Grade Level: Name of School: _________________________________________________________ School Address: __________________________________________________________ Classroom presentation (select all that you are interested in) (Preschool-1 st Grade ) 30 minute program- I f I W as a Fish can be presented to 1-4 classes at once W ater Heroes (Grade 1-3) 40 minute program- can be presented to 1-4 classes at once W ater & W eather (Grade 2) 30 minute program- can be presented to 1-2 classes at once W ater in the Ol’ W est (Grade 1-5) 40 minute program- can be ( Assem bly Presentation) presented to a minimum of 3 classes W ater- Keep it Clean! (Grade 3-8) 40 minute program- can be presented to 1 class at a time Conservation Capers (Grade 3-5) 40 minute program-can be presented to 1-2 classes at once Conservation Challenge (Grade 6-8) 30-45 minute presentation- can be presented to 1-2 classes at once

W e All Live Dow nstream - (Grade 6-12) 50 minute program-can be Protecting our W atershed presented to 1-2 classes at once The Facts Behind the (Grade 6-8) 40-60 minute program-can Faucet be presented to 1-6 classes at once Reclaim ed W ater (Grade 6-8) 40 minute program-can be presented to 1-2 classes at a time Careers in W ater (Grade 9-12) 30-45 minute program-can be presented to 1-2 classes at once Possible dates for presentations: _____________________________________________ Preferred time: ___________________________________________________________ Total classes to see presentation: __________ Number of presentations you would like: __________ Number of students in each presentation: __________ Teacher Information (all teachers who will see the presentation) Name: _______________________________ Email: ____________________________ Name: _______________________________ Email: ____________________________ Name: _______________________________ Email: ____________________________ Name: _______________________________ Email: ____________________________ What unit of study or topics will the presentation be supplementing? ________________________________________________________________________ Will an LCD projector and screen be available? Yes No Will a computer be available? Yes No

Where did you learn about our presentations? Select Option _______________________________________________________ If Other, please describe: ________________________________________________ Submit