2026-27 School Based Learning Requests for Blount County Schools

School Based Learning Request Form 2026-27 | Blount County

Browse our numerous educational programs to choose the one that's right for you! Note: You can request a scholarship or grant funding at the end of the request. This form is a request for us to bring programming to your classroom. Don't hesitate to contact us at outreach@themuseknoxville.org with any questions.

"*" indicates required fields

Contact Information

Contact Name*

First Last

Contact Email*

School Information

School Name*

County Where School is Located*

School Address*

Street Address City State ZIP Code

School System*

School Phone Number*

Is this a Title I School?

Yes

Group Information

Total Number of Classes

Example: 3 - 2nd grade classes

Number of Students Per Class

The maximum number per class is PreK - 20, K-2nd - 25, 3rd-5th - 30. An Outreach Educator will not teach a lesson if the class size exceeds the maximum number allowed.

Please Select Your Grade Level*

You will be choosing your classroom program below.
Multiple grade levels may not be selected.
Please submit one form for each grade level, or for additional days for one grade level.

PreK Program | 3-5 year olds

3, 2, 1, Blast Off!

Ramps, Slides, and Pathways

Shake, Rattle, and Roll

Kindergarten Program

Animals: Families & Homes

Empathy Explorers

Fairy Tale Engineering: Huff & Puff STEM Challenge

1st Grade Program

Fairy Tale Engineering: Rescue Red Riding Hood

Make Some Waves: Light

Star Gazers

Empathy Explorers

2nd Grade Program

Animal Adaptations

Make Some Waves: Sound

Beanstalk Engineering

Coding With Color

3rd Grade Program

Circling Circuits

Coding With Color

STEM Structures: Architect Quest

Earth’s Systems Explorers

4th Grade Program

Full of Energy

Coding With Color

Make Some Waves: Light & Sound

STEM Structures: Architect Quest

5th Grade Program

Coding With Color

Spectacular Space

STEM Structures: Architect Quest

Program Date & Times Requests

Date Requests: May include specific dates, date ranges and/or preferred months

Time Requests: Must include at least 2 program time slots if there is more than 1 class per grade level (programs last 55 minutes)

Date / Month*

MM slash DD slash YYYY

Program Times*

If you have 2 classes you must provide 2 time slots. If you have 3 classes you must provide 3 time slots.

Second Program Request

Want to request a second program? Fill out the section below.

Do you want to request a second program?*

Yes

PreK Program | 3-5 year olds

3, 2, 1, Blast Off!

Ramps, Slides, and Pathways

Shake, Rattle, and Roll

Kindergarten Program

Animals: Families & Homes

Empathy Explorers

Fairy Tale Engineering: Huff & Puff STEM Challenge

1st Grade Program

Fairy Tale Engineering: Rescue Red Riding Hood

Make Some Waves: Light

Star Gazers

Empathy Explorers

2nd Grade Program

Animal Adaptations

Make Some Waves: Sound

Beanstalk Engineering

Colorful Coding With Sphero indi

3rd Grade Program

Circling Circuits

STEM Structures: Architect Quest

Colorful Coding With Sphero indi

Earth’s Systems Explorers

4th Grade Program

Full of Energy

Colorful Coding With Sphero indi

Make Some Waves: Light & Sound

STEM Structures: Architect Quest

5th Grade Program

Spectacular Space

STEM Structures: Architect Quest

Colorful Coding With Shero indi

Second Program Date & Times Requests

Second Program Date(s) / Month

Second Program Times

If you have 2 classes you must provide 2 time slots. If you have 3 classes you must provide 3 time slots.

Third Program Request

Want to request a third program? Fill out the section below.

Do you want to request a third program?*

Yes

PreK Program | 3-5 year olds

3, 2, 1, Blast Off!

Ramps, Slides, and Pathways

Shake, Rattle, and Roll

Kindergarten Program

Animals: Families & Homes

Empathy Explorers

Fairy Tale Engineering: Huff & Puff STEM Challenge

1st Grade Program

Fairy Tale Engineering: Rescue Red Riding Hood

Make Some Waves: Light

Star Gazers

Empathy Explorers

2nd Grade Program

Animal Adaptations

Make Some Waves: Sound

Beanstalk Engineering

Colorful Coding With Sphero indi

3rd Grade Program

Circling Circuits

STEM Structures: Architect Quest

Colorful Coding With Sphero indi

Earth’s Systems Explorers

4th Grade Program

Full of Energy

Colorful Coding With Sphero indi

Make Some Waves: Light & Sound

STEM Structures: Architect Quest

5th Grade Program

Colorful Coding With Sphero indi

Spectacular Space

STEM Structures: Architect Quest

Third Program Date & Times Requests

Third Program Date(s) / Month

Third Program Times

If you have 2 classes you must provide 2 time slots. If you have 3 classes you must provide 3 time slots.

Once your program is completed, you are highly encouraged to compete the follow-up survey provided to you by your Outreach Educator.*

Please select the box below to show you understand.

Yes, I Understand

Terms & Conditions

All information provided is accurate and complies with the form's directions. Once programs have been scheduled with Muse Knoxville's Outreach Manager, unforeseen circumstances do not guarantee rescheduled programs.

Yes, I have read and agree to the Terms and Conditions*

Yes, I have read and agree to the Terms and Conditions