1. science

Neighborhood
Science After
School 2015
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Thank you for your interest in hosting a Philadelphia Science Festival Neighborhood Science
After School event at your library. Our goal is to make your participation, and that of those you
serve, a rewarding experience! Once again, the programs will be more free-flowing and will
feature 4-6 science educators providing hands-on activities at your library. The activities will
happen concurrently in your space, allowing children and families to come and go as they choose.
Please help us achieve this goal by taking five minutes to complete this short survey. This will
ensure that we make the most appropriate match for your group's interests. Locations will be
chosen soon, so please get your information in as soon as possible!
**NOTE** Neighborhood Science After School programming will be held from 3:30pm 5:30pm Monday, April 27 - Thursday, April 30. To be eligible to participate you must be open to
the general public during these hours on the day your location is selected for the event.
Have questions? Please contact Rachel Fryd (215-686-5372/ [email protected]) or Ellen
Trappey (215-448-1346/ [email protected]).
* Required
Name of Primary Contact
Title of Primary Contact
Email Address *
Phone Number
Name of Library Branch
Library Address
Library Phone Number
Date(s) you'd be willing to host a program
Please select all that apply
Monday, April 27
Tuesday, April 28
Wednesday, April 29
Thursday, April 30
Of all the dates selected, what would be your first choice?
Please list your hours of operation of your preference
What ages do you typically see after school? How many children?
Please include any information that you think will be helpful in determining the types of
organizations to pair with your usual audience.
How many activity tables will your location hold?
Each science provider will need one table. How many activities can your intended gathering room
comfortably hold?
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