Outreach Program

STEM kit booking request

*This kit is not a Curriculum aligned resource.

Personal details All fields are required

• Given name
• Surname
• Email
• Phone

Organisation details All fields are required

• Organisation name
• Street address
• Suburb
• Postcode
• Email

Mailing address If different from organisation address

• Add mailing address
• Address
• Suburb
• Postcode

Invoicing details If different from organisation details

• Add invoicing details
• Organisation name
• Address
• Suburb
• Postcode
• Email

Audience details All fields are required

• Applicable year levels (e.g. year 5 and 6)
• Expected number of kit users

Learning kit details Please select a date range for at least one kit

Learning kit	Preferred date range
STEM Astronomy	Select
STEM Engineering	Select
STEM Robotics	Select

Further details

• Additional notes (optional)

Consent details

• I consent to receiving emails from Museums Victoria Outreach Program about upcoming programs and updates (optional)
• Privacy Collection Notice

Security question

• How many letters are in the word Carlton? (required)

Submit request