NCMNS School Grounds Workshops Interest Form

Workshop Host Information

Contact Name*

Contact Email*

Contact Phone*

Phone

School or Organization*

County*

Select

Address*

City*

State*

Select

Zip Code*

Please fill out the following questions for the group of educators that would attend.

Number of particants*

About how many educators do you expect would attend the workshop?

Type of educator attending*

Choose all that apply.

Where would you like to host the workshop?*

Site description*

Please provide a brief description of the site where the workshop would be held, primarily the outdoor setting.

If you have pictures of your site, please upload them here!

Drag and drop files here or

Number of workshops*

1 workshop

2 workshops

Series of multiple workshops

Not sure

Potential workshop date(s)