School/Community Event Request Organization Name Contact Name Contact Email Address Contact Phone Number School Name (If applicable) Grade Level (If applicable) - None -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade Please select the grade that you teach. Desired Date of Activity (Optional) Select the Activity - Select -Touchstone Energy Conservation ClubhouseCareer DayReality TownBuzz the Safety RobotSafety Demo Trailer From the options above, please select the activity you would like to come to your school or event. Special Requests or Notes Review of Activity All requests will be carefully reviewed, discussed, and scheduled based on the availability of South Kentucky RECC personnel and resources. We are committed to ensuring each program is well-staffed and successful for all participants. Submission of a request does not guarantee approval or scheduling. If additional information is needed at any point, we will contact you using the information provided in your application.