Science Factory "Meet a Scientist" Day Participation Form
Thanks for your interest in the Science Factory's "Meet a Scientist" Day! Our annual celebration of UO scientists and their work will take place on Saturday, January 27, 2018. Please fill out the following form to let us know that you are willing to participate. You may e-mail me with questions at education@sciencefactory.org, or call 541-682-7892. Please feel free to forward this form to any colleagues or students who might be interested.
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Your Name *
Department/Program/Lab *
E-mail *
Phone number *
xxx-xxx-xxxx
Title of proposed activity *
Type of activity *
Description of proposed activity *
Describe what you will show or tell the visitors, and what they will learn from your presentation.  Since our primary audience is families with small children, highly visual or tangible components help greatly. If proposing a planetarium lecture or demo, please estimate the length of your presentation.
What material needs do you anticipate, other than a table and chairs? *
Choose all that apply.
Required
Are you willing to speak to local media in advance of the event to promote your activity? *
We occasionally get media interest prior to events like this.
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