Rutgers, The State University of New Jersey
Visit Request Form

Please fill in the fields below to request a Rutgers Science Explorer visit. All fields are required. Once you submit the form, you will receive a confirmation email and periodic news and updates from the Rutgers Science Explorer.

First Name:*
Last Name:*
School:*
Position/Title:*
Address:*
City:*
State:*
Zip Code:*
County:*
Phone:*
Fax:*
Email Address:*
   

Grade levels of students expected to visit the Rutgers Science Explorer (can check more than one):*
6th Grade
7th Grade
8th Grade

Number of students you would like to visit bus:

 Please note that if you would like more than 60 students to visit the Rutgers Science Explorer, you should check here to request a multiday visit.

Science Exploration you would prefer:*

Science Exploration, second choice:*

Month you would like us to visit, first choice:*

Month you would like us to visit,
second choice:*


The Rutgers Science Explorer staff will contact you to discuss available dates.

Comments, special requests:


 

 


To submit a comment or report a problem with this site, please contact scibus@rci.rutgers.edu.
© 2005 Rutgers, The State University of New Jersey. All rights reserved.
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