CSI@LSI Application

CSI@LSI - November 29th

Students and teachers from the Greater Vancouver area are invited to participate in hands-on workshops in the research labs at the Life Sciences Centre at UBC on Nov 29th.

Grade 10 or 11 science teachers are encouraged to apply for this unique science outreach event.

Life Sciences Centre
University of British Columbia
2350 Health Sciences Mall
Vancouver BC V6T 1Z3

Application Deadline is Oct 18, 2013.
For more information please contact: lsi.grad@ubc.ca

Name*
First Last
School Name*
Email*
Phone
School Address*
Street Address Address Line 2 City Province Postal Code
School/Class Website
Class Size*

Number of students eligible to travel to UBC. ie. 6 or 20-25. Please note we can only accept up to 40 students to allow ample hands-on time. Your group of students can be one complete class or 20 from class A and 20 from class B.
Grades*
- 10
- 11
Why are you interested in this event? What impact will participating in the CSI@LSI have on your class?*
Does your class participate in any other outreach activities? If yes, which program(s)?*
Have your students ever visited UBC? If yes, where? when? what for?*
Please provide a brief description of the science program at your school.*
Does your school have a biology and/or chemistry lab? Do you offer Biology 12 or AP Biology? How many students enroll in biology 11 or 12 per year.
I understand that I am responsible for the safety of the students while on this field trip and will obey by all school/district field trip rules and regulation.*
- Yes
- No