Educator Request Form

Educator Request Form

Thank you for connecting your students with Inspire WI! Please complete this request form so we can support you. This form is designed to capture the details we need to plan your experience. Once submitted, our team will review your request and follow up.
Educator Information
Who is completing this request?*

School ContactInspire WI ConsultantYouth Apprenticeship Coordinator
Your Name

First NameLast Name
School Contact Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
School Name*
Please Type Your School Name
Grade Level's Involved*

9th10th11th12th
Where do you want this experience to take place?*

Inside of SchoolOutside of School
What type of event or experience are you requesting for your outside of school event?*
What type of event or experience are you requesting for your inside of school event?*
To read further about what these different events are, please visit our website at XXXXX

Educator Information