Outreach Interest

If you see this don't fill out this input box.

*First & Last Name

*Title

Dr.

Mr.

Ms.

Prefer not to say

*Home Department

*Email

*What is your primary research area or interest you would like to engage folks through?

Which K-12 outreach formats are you most interested in?

30 min - 1 hour visits to my lab/research location

Offering a workshop at a large event (Tech Savvy)

1-2 hour workshops with an individual school or group

Being a part of a feature video for my research

Other (fill in)

(select all that apply)

If Other

Target Population

Elementary

Middle School

High School

Other (fill in)

If Other

*Are you interested/ available to help with outreach needs over the summer?

Yes

No

Maybe

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