STEM SUSSEX

About your school

* Contact Name

* Job Title

* School

* Address

* Telephone

* Email

Has your school previously had contact with a Scientist / Engineer? If so please give name / contact

About the Proposed Activity

* STEM Ambassador Required from (date)

* Time(s) STEM Ambassador required

* Frequency Once Only Regularly

If regularly, when/how often?

Target Key Stage

* Description of activity or curriculum support

* Anticipated number of pupils

Risk Assessment for Actvity NB If you do not attach a Risk Assessment now then you will need to supply one prior to engagement

Preferred discipline / specialisation of Ambassador

Other Comments