Please fill out the information below about requesting a visit from a Kortschak Center Staff Member to visit your group or class for an Off-Site Outreach. Off-Site refers to Outreach that happens outside of the Kortschak Center.
Please fill out the form in its entirety. All requests need to be done at least 2 weeks in advance. We are happy to accommodate requests the best we can.
Group or Class Name
I am a(n):
Date Requested for Outreach **PLEASE NOTE: this need needs to be at least 2 weeks before today's date
Events outside of business hours (Monday-Friday 8:30AM-5:00PM) may not be able to be accommodated
Time of Outreach
Length of Outreach in Minutes
Check off which Topics you are looking for during this outreach:
Description of Outreach Needed
Additional Comments or Questions
Do Not Fill This Out