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* 1. Your Information

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* 2. Student Info

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* 3. Which of the following field trip dates works best for you (ranking order: works best (1) -> works least). If it doesn't work at all, leave it blank.

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* 4. The engineering workshop runs for ~2 hours. What time slot would you like the field trip to run? Ex: 10am-12pm, 1pm-3pm, etc.

Our availability is 8:30am-4:00pm.

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