Science, Engineering and Mathematics Link, In.
P.O. Box 93641 •Atlanta, GA 30377• Phone/ Fax: 678-496-5060
Email: info@semsuccess.org • Website:
www.semsuccess.org
Experimental Design Mentoring Program
Group Mentoring Request
20090726-1856
Teacher's Name
Name:
Email Address:
School Name:
School Address
Address:
City:
State:
Zip:
School Phone Number:
Best method of contact:
Phone
Email
For what type of affair are you requesting group mentors?
Math Fair
Other (Please Specify)
Science Fair
Technology Fair
How many mentors are you requesting?
1-3
4-6
7 or more
For how many classes are you requesting mentors?
1-3
4-6
7 or more
Please indicate
specific time
for the day(s) you will need mentors present in your class. Leave the time blank for any day not needed
Times
Monday
Tuesday
Wednesday
Thursday
Friday
How did you hear about SEM Link’s Experimental Design Program?