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Field Experience Request

  1. Forms may not function properly if using Microsoft Internet Explorer 9 (IE9) or earlier. If you experience issues, please call 866-NEW-BINS (866-639-2467).

  2. Have you had a SWA program in the past?

  3. Field Experience Details

  4. Please note we can only see 40 students (2 classes) max per day.

  5. Adobe Connect Pre-Lesson Date / Time

    Before visiting our site, your students must participate in an online pre-lesson with one of our educators.

    Please choose a date within two weeks before your visit. Pre-Lessons are scheduled at:
    Tuesdays 9:30 a.m. and 1 p.m.
    Wednesdays 8:30 a.m.
    Thursdays 2 p.m.

  6. Let us know if you have any special requests or need any special accommadations

  7. Please note, this is only a request. An education staff member will be in touch with you within 72 hours.

  8. Leave This Blank:

  9. This field is not part of the form submission.