May 19
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Mobile Fab Lab Program Request Form

"*" indicates required fields

Contact Name*
Write N/A if none
If available, would you like to request a bilingual educator that speaks English and Spanish?*

Program Specifics

Start Time of Program*
:
End Time of Program*
:
Location of Program (if different than above)
Is the program location ADA compliant?*
Must have ramps, elevators, etc.
The Mobile Fab Lab requires a large space without tight turns.
Can you provide tables and chairs for all students to work?*
Can you provide A/V equipment like projector, screen, and computer with internet access?*
For certain programs, students will need internet access that does not block tinkercad.com, code.org, or girihdesigner.com. Can you provide internet access that will work for these websites? We will provide laptops for students or students can use school-issued devices.*
This field is for validation purposes and should be left unchanged.

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