BASIS Lesson: Virtual – Outbreak: One Health One World!

BASIS Presentation Request Form

Outbreak: One Health One World! – Virtual (Grade 3)


NOTE: Filling out this form does NOT ensure that you will receive a lesson.
We schedule lessons on a first come, first served basis, giving priority to teachers who have not yet had a lesson this school year.

We will send a confirmation email if we are able to schedule the lesson for you.


Teacher Name*:


Email*:
Please enter an email you check regularly. If you receive this lesson, CRS will send a confirmation email to this address. Volunteers will be in touch with you via this address to confirm and discuss their classroom visit.

Phone Type:

Number of Students in Class:

Please share the LINK for the Distance learning platform you use with your class for this session:

Preferred date(s)*: Include ALL dates that will work for you
(Note: to request multiple dates, hold down ‘Ctrl’ on a PC or Command/Apple on a Mac and then single-click the options you’d like to select)

Preferred 45-60 minute time slot(s):
*within time contraints listed above.


Please note any classroom special needs or ELL issues that you feel we should be aware of. How can our volunteers best accommodate those needs?

Additional comments or questions?

Thank you! If you need further assistance, please email us at: crs@crscience.org.