JBOLC September Insect Study Registration
Sign in to Google to save your progress. Learn more
First and Last Name *
Preferred Gender Pronouns *
Title of Presentation *
your affiliation or organization *
your official title
Please briefly describe your presentation, including activities.  We expect to engage participants of all ages. *
Please share learning objectives, goals and/or expectations of your presentation. *
Date of Presentation *
Time of Presentation *
Are you also willing and able to join us on September 25 when we hold our culminating Insectageddon Event?  If so, what do you envision as an appropriate culminating event for a month long study of insects? *
There is a limited budget available to cover reasonable material and travel expenses and perhaps a small stipend for each presenter.  Please share with us description and cost of materials and travel expenses (not to exceed $75)
Would you prefer to donate your services as a volunteer? *
Do you allow JBOLC to share photos, videos, media posts of you for the purposes of promoting Insectegeddon and or for educational and fundraising? *
Please share with us any thing else we might need to know, questions, concerns, suggestions.  We thank you for participating and we look forward to seeing you during this month of Insect Exploration! *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy