Starlab Scheduling Form 2017-18
Sign in to Google to save your progress. Learn more
Name of person completing form *
Email address *
Phone number *
Corporation *
School(s) planning to use Starlab *
Trained Teacher(s)
A teacher who has been trained in Starlab operations and will be responsible for Starlab during its visit to your school is required.  For 2017-18, a one-day Starlab Training Workshop will be held in early September.   Further details on the Training Workshop will be available soon!
Names of trained teacher(s) for each school, along with their email address: *
Starlab Scheduling Choices
An SIEC van driver will deliver and pick-up Starlab to and from your school or school district.  The standard loan time is one week per school, unless you prefer a longer loan time and we find that it will fit into the SIEC Starlab schedule. You are welcome to include any specific requests in the Special Notes box below.

1st choice *
2nd choice
3rd choice
Special notes:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southern Indiana Education Center. Report Abuse
Google Forms