Outreach Request

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Your name

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Organization Name

Phone Number

Date and Time Availability

If this is a request for a scheduled event, please list the date and time of the event. If your dates are flexible, please list three dates and times that your group is available and note first, second, and third choice. Facility tours require a minimum of one hour and classroom modules require a minimum of 30 minutes.

Date and Time Availability
	Date and Time Availability Date and Time Availability: Date Date and Time Availability: Time	Item weight

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Type of Outreach

Please note: SWIFT Research Facility tours are scheduled on Wednesdays and Thursdays, 9:00 a.m. - 2:00 p.m.
Wastewater Treatment Plant Tours: Two weeks advance notice preferred and minimum 12 years of age.

Group Size

Group Age Range

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