Program you'd like to do (please provide a description of the event/activity. If it is a limited audience (e.g. workshop), please indicate maximum number of participants). *
Your answer
What audience (age) is your event for? *
Your answer
Past experience (What other audiences have you presented to? School-aged, Rotary Clubs, other scientists - any and all audiences you've reached.) *
Your answer
Needs/Assistance (What are your space AND technical needs? Do you need assistance from the MSF in finding other presenters?) *
Your answer
Date you can present (forum/workshop only). *
Required
A copy of your responses will be emailed to the address you provided.