Geering Up Engineering & Science for Kids

Outreach Request Form

OUTREACH REQUEST FORM

Name*
First Last
Email*
Phone*
Name of community you're applying for*
Dates of programming (Start - End)*
MM slash DD slash YYYY
Community Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Age Range of Youth*
Youth Demographic*
- Indigenous
- At Risk
- Low Income
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Name
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UBC Geering Up is situated on, learns from, and is inspired by the traditional, ancestral, and unceded lands of the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səlilwətaɬ (Tsleil-waututh) Peoples.