Programming Request Form – Expanding Boundaries International

First Name *

Last Name *

Title *

Department

School/Organization Name *

County, State, City

Country

Phone Number *

Email *

What type of programming are you interested in:

Single Day In Person Virtual Tour via Google Earth

2 Days In Person Virtual Tour via Google Earth & Peer collaboration with friends from Ghana

Single Day In Cross-cultural conversation with peers in Ghana

Professional Development - (PBL & STEAM)

Professional Development - teaching with Google Earth

In - Person, African cooking class

Virtual African cooking class

Customized STEAM program

What grade level(s) would be participating?

Approximately how many students will be participating?

When would you like the program to run?

Do you have funding in place?

Yes

No

If yes, what is your budget?

How did you find out about us?

Additional Comments:

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