PlantLab Student Scientists Application

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PlantLab Student Scientists

Please submit this form to be considered as a participant for the PlantLab Student Scientists pilot program.

Educator Name * Required Fields

Please enter your first name

First Name:*

Please enter your last name

Last Name:*

Please enter a value for New Field

Grade Level You Teach:*

Please enter the school name

School Name:*

Please enter the district name (if applicable)

District Name (if applicable):

Please enter the school address

School Address:*

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School Phone:*

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Educator Primary Email Address:*

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There are other educators on my grade level team who may be interested in participating in this program:*

Yes

No

Please enter a value for the field .

There are other individuals at my school (administrators or curriculum specialists) who may be interested in participating in this program:*

Yes

No

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