Outreach Request Form

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Thank you for your interest the outreach activities of the Optics Society at the University of Michigan (OSUM)!

Please fill out the following form if you are interested in having volunteers from our society visit students at your organization. We are willing to conduct demonstrations and projects for a few hours or multi-day sessions. See the 'outreach' tab on our website for more information about these activities.

Name of Requester *

Requester's Email Address *

Requester's Company/Organization *

Address of Company/Organization *

Size of Student Group *

Age/Grade Range of Student Group *

Request for OSUM to Host: *

Demonstrations

Project

Other:

Timeline: Date and Time of Request *

Comments, questions, concerns?

Submit

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