STEMReach Sustained Engagement Programme: Registration of Interest

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* 1. Teacher Name

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* 2. Teacher Email

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* 3. Confirm Email

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* 4. School Name

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* 5. School Location

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* 6. Is your school?

All girls

All boys

Mixed

DEIS

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* 7. How many students will be taking part?

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* 8. What format would you prefer?

In person

Fully online

Blended

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* 9. Have you or your students taken part in sustainability, biodiversity or climate action programmes in the past?

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* 10. Please let us know?

	Yes	No	Unsure
Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes?	Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes? Yes	Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes? No	Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes? Unsure	Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes?	Do you have a school dedicated point of contact for sustainability, green schools or biodiversity-related programmes?
Do you think it is important for the student voice to be heard when discussing climate change and sustainability?	Do you think it is important for the student voice to be heard when discussing climate change and sustainability? Yes	Do you think it is important for the student voice to be heard when discussing climate change and sustainability? No	Do you think it is important for the student voice to be heard when discussing climate change and sustainability? Unsure	Do you think it is important for the student voice to be heard when discussing climate change and sustainability?	Do you think it is important for the student voice to be heard when discussing climate change and sustainability?
Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum?	Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum? Yes	Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum? No	Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum? Unsure	Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum?	Do you think it is important for sustainability and biodiversity to be intertwined across the curriculum?
Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region?	Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region? Yes	Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region? No	Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region? Unsure	Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region?	Do you think more informal programmes related to sustainability, biodiversity and climate change are needed in the region?
Do you think sustainability and climate action should be a stand alone subject?	Do you think sustainability and climate action should be a stand alone subject? Yes	Do you think sustainability and climate action should be a stand alone subject? No	Do you think sustainability and climate action should be a stand alone subject? Unsure	Do you think sustainability and climate action should be a stand alone subject?	Do you think sustainability and climate action should be a stand alone subject?

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* 11. What module would you like to take part in?

Sustainability: Our Future, Your Story

Creative Problem Solving

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* 12. What topics would you like to see covered in future modules?

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* 13. Have you taken part in a STEMreach programme before?

Yes

No

Unsure

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* 14. Going forward, what do you think is the best time of the academic year to host a similar programme?