UW-Madison Science Expeditions Presentation Sign Up
UW-Madison's 11th Anniversary of Science Expeditions will take place from Friday April 5, 2013 through Sunday April 7, 2013. Exploration stations (10am - 2pm) will be occurring at the Wisconsin Institutes for Discovery (WID) on Saturday April 6 and at the Health Sciences Learning Center (HSLC) on Sunday April 7.

After you have completed the form you will receive a confirmation email with presentation guidelines. If you need to change any of your information, please contact Ana Garic at anags@nutrisci.wisc.edu. We will contact you if we have any questions or concerns. You will also be receiving an email one week prior to the event with logistics about setting up your exploration station.

Deadline for signing up is March 29, 2013.
Exhibit Type *
Is your exhibit an exploration station to be set up at a booth, a Science Spectacular held in a seated/theater type venue, or a destination for exploration where people can come tour?
What day(s) would you like to present on? *
On Saturday the hub of activity will be at Wisconsin Institutes for Discovery and on Sunday the hub will be at Health Sciences Learning Center
Exhibit Title *
Enter the overall exhibit title (100 characters). This is the title we will use for the sign we provide for your Exploration Station.
Your answer
Full Description of Exhibit *
Please Describe the content of your Exploration Station, Science Spectacular, or Satellite Venue. This description will appear online and/or in the program
Your answer
Your Department or Organization *
Enter the UW-Madison Deparment, student organization, or community organization that will be sponsoring the exhibit
Your answer
Primary Contact *
Enter LAST NAME, FIRST NAME of primary contact person
Your answer
Primary Contact Email *
Enter your email as name@wisc.edu
Your answer
Primary Contact Phone number *
Enter your phone number where you can most easily be reached prior to the event and on the day of the event in this format XXX-XXX-XXXX
Your answer
Secondary Contact *
Enter LAST NAME, FIRST NAME of secondary contact person
Your answer
Secondary Contact Email *
Enter a secondary contact email as name@wisc.edu
Your answer
Secondary Contact phone number
Enter phone number where person can most easily be reached at (OPTIONAL)
Your answer
What is the total number of tables you need *
Tables are 6 feet long
Will you need access to electrical outlets? *
Funding Assistance (Up to $200 for Exploration Stations, $100 for Exploration Destination, and $350 for Spectaculars) *
If you need funding assistance for materials, please enter the dollar amount. If you do not need funding assistance please enter zero. Note that only limited funds are available so apply early. After completing this form please contact Cheryl Redman (redman@biotech.wisc.edu) to start the process to receive funds for your participation.
Your answer
Additional Needs/Questions/Comments
If you have any additional requests, please list them here and we will try our best to accommodate the (eg. extra chairs, dark room, projector, mat for floor for messes etc.)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy