Virtual Lessons

2. <i>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).</i><br><br>

   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).
   
   

4. 

5. Virtual lessons are conducted Monday through Friday, from 8:30 a.m. to 4 p.m., depending on the program selected. Please check the <a href="http://swa.org/calendar.aspx?CID=39," target="_self" class="Hyperlink">Education Calendar</a> for availability .<br> <br>All programs are free of charge and available in Spanish.<br><br><em>Please note, this is a request form and not a guarantee of a scheduled program.<br> <br> </em>

   Virtual lessons are conducted Monday through Friday, from 8:30 a.m. to 4 p.m., depending on the program selected. Please check the Education Calendar for availability .
   
   All programs are free of charge and available in Spanish.
   
   Please note, this is a request form and not a guarantee of a scheduled program.
   
   

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

   1. Yes
   2. No

9. Contact Name*

11. School / Organization Name*

13. Address1*

15. Address2

17. City*

18. State*

19. Zip*

21. Contact Phone Number*

22. Email Address*

24. How did you hear about us?

26. Environmental Lesson Details

28. Virtual Program Selected*
    -- Select One --SWA for Beginners (K-2nd)Industry & Nature Coexist (3rd & 7th)Recycle Right! (4th & 6th)Renewable Energy (5th & 8th)Full SWA Overview (HS and College)RMPF Technical Tour (HS and College)REF 2 Technical Tour (HS and College)

    Please fill out a new form for each grade level.

30. Date / Time - 1st Choice*
    Date / Time - 1st Choice

    Date / Time - 1st Choice

31. Date / Time - 2nd Choice*
    Date / Time - 2nd Choice

    Date / Time - 2nd Choice

32. Date / Time - 3rd Choice*
    Date / Time - 3rd Choice

    Date / Time - 3rd Choice

34. Grade*

35. # of Participants*

36. # of classes*

38. Virtual Platform*

    1. Google Meet/Classroom
    2. Zoom
    3. Microsoft Teams (ours)
    4. Other (please list in notes)

40. Additional Notes

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

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

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field