Appanoose Co. STEM Festival: Presenter Registration 2018
Please fill out the form to indicate your plans to participate in the Appanoose County STEM Festival in Centerville, Iowa. Please plan for ~200 participants.

Saturday, October 27, 2018
10:00am-1:00 pm
Set Up 8:30am
Howar Jr. High
850 South Park Street
Centerville, IA

Booth hosts: Completing this form will reserve a booth for your organization. A standard booth is one 6ft table and two chairs.

Send any questions to Kim Mitchell: kim.mitchell@centervillek12.org

Thanks for your participation!

Email address *
First Name
Your answer
Last Name
Your answer
Organization
Your answer
Telephone Number *
Your answer
Email Address *
Your answer
How will your organization participate in the STEM festival?
Check all that apply
About how many volunteers from your organization will participate?
Your answer
If you will be hosting a booth, please provide a two sentence description of your activity for the festival program
Your answer
If you will be hosting a booth, please provide a description of your proposed hands-on activity. What will presenters do? What will students do?
What will presenters do? What will students do? (We need this information for safety purposes)
Your answer
Check if your exhibit will need access to the following
A standard booth is one 6ft table and two chairs. We will work with you to accommodate your activity's needs - space for launching, racing, etc. If you need extra space, please estimate the size.
Please provide a complete list of materials. (This is for safety consideration)
Your answer
Describe any potential safety hazards and how you will minimize safety risks
(i.e. provide students with safety goggles) See:http://iexplorestem.org/files/iexplorestem.org/files/Creating%20Safe%20Activities.pdf for more safety guidelines
Your answer
A copy of your responses will be emailed to the address you provided.
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