TS In-Person Class

To request a Transplantation Science class, please complete & submit the form below .

A Public Education Coordinator will contact you within approximately five business days to confirm details. Please make sure you have read the program FAQs before submitting your request.

Please keep these things in mind:

Please submit three possible dates you would like to participate in the program. We will make every effort to accommodate the first choice, however, our schedule fills up fast. Educators will not be available Dec. 14-31, 2022.
Requests for classes should be submitted 3-4 weeks in advance of the date(s) requested. We schedule classes in the order in which requests are received.
Please submit one form per teacher with each teacher’s email address. We prefer to email the confirmation to each individual teacher to keep communication clear. If you have a large program requesting with more than 3 teachers, please email transplantationscience@donoralliance.org and a Public Education Coordinator will reach out to you to schedule.
If you teach less than 50 students and are in a small school more than 100 miles from Casper, Colorado Springs or Denver, please consider requesting the Transplantation Science Traveling Trunk for your students.

Class Information
Dates Requested (Please submit 3 possible dates.)*
3-4 weeks in advance, please (Click "+" to add additional dates.)
School Name*
School District
School Address*
(please do not submit your home address 🙂
City*
State*
Zip Code*
Room Number
If multiple teachers, please choose one classroom. It is time-consuming to move materials from room to room, especially with a short passing period.
Where should the educator park?
(e.g. visitor parking; north side)
Which entrance should the educator use?
(e.g. main entrance on north side of the school)
Teacher Participating*
Class Subject(s) (e.g. Biology, Anatomy, Life Science)
Grade Level(s) (Only 6th-12th eligible)*
Total Number of Classes*
EXACT Times of ALL Classes for Transplantation Science (1 class per line)*
(Click "+" to add additional periods. e.g. Period 2: 9:06-9:56; Period 3: 10:00-10:50, etc; )
Period # Start Time of each class End Time of each class
Total Number of Students (all classes)*
Number of Students Per Period (Max=35)*
If you have more than 35 students or a special schedule, please include it in the questions/comments field.
Special Program
Please check the box if you would like to use any of the following programs for your students. Please add more information in the comments (e.g. how many ELLs you have, etc.)
- Sheltered Instruction Workbook for ELLs - please include how many books you would like in the notes below
Any Questions or Comments?
Contact Information
Main Contact*
Contact Phone*
Alternate Phone*
We need an after hours phone number in case we need to cancel. This will only be used if Educator is unable to make it or we need to adjust for weather cancellations
Contact Email Address*
Alternate Email*
Sometimes our emails don't get through district firewalls. Please check SPAM folder or add transplantationscience@donoralliance.org to your contacts.
How did you hear about the program?*
By checking this box, I understand that Transplantation Science educators may not be licensed Colorado or Wyoming teachers. I agree to be present in the classroom during the Transplantation Science class. I also agree to assist the educators when setting behavioral expectations with my students so that the materials are treated with respect.*
- I understand and agree
Optional Opt-In for Donor Alliance e-Newsletters
- Transplantation Science Updates - bi-annual; gives updates to the program
- Perspectives - bi-monthly; Donor Alliance news and industry updates
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Period #	Start Time of each class	End Time of each class

To request a Transplantation Science class, please complete & submit the form below .

Class Information

Contact Information