29%
Questions marked with a * are required Exit Survey
 
2017 Discovery Proposal Form
This is the class proposal form for the 2017 Discovery program at VCU's Mary and Frances Youth Center. Discovery focuses on provided STEAM-H career exploration classes for rising 6th-8th graders, and class offerings can be full day, or half day  for one week. For questions, email us at discovery@vcu.edu or visit our website at, mfyc.vcu.edu. Please complete and submit your proposal(s) by February 22, 2017.
 
 
 
Class Instructor Information
 
 
 
* Class Name
   
 
 
 
* Instructor Name
   
 
 
 
* Instructor Email
   
 
 
 
* Instructor Phone Number
   
 
 
 
* Instructor Street Address
   
 
 
 
* Instructor City, State and Zip
   
 
 
 
* What is your affiliation with VCU? 
 
Faculty
 
Staff
 
Student
 
Alumni
 
Not affiliated with VCU
 
 
 
* What is your highest level of education? 
 
High School
 
Associates Degree
 
Undergraduate Degree
 
Graduate Degree
 
Doctoral Degree
 
 
 
* If you are connected to VCU, please list which department you are with or your major. If you are not affiliated with VCU, please list your current position and employer.
   
 
 
 
* I am willing to provide this class pro-bono. (If you would like compensation for your class, please upload your resume below) 
 
Yes
 
No