STEAM Day 2019 Presenter Registration
What is your name, including title (e.g Dr. Mary Smith)? *
Your answer
What is your title (e.g. Manager)? *
Your answer
What is the name of your organization? *
Your answer
Approximately how many other people will be presenting with you? *
Please list the names of the other presenters (if applicable):
Your answer
What is your cell phone number (to be used in the event we would need to reach you the morning of STEAM Day? *
Your answer
Please list an email address where a STEAM Day committee member can reach you. *
Your answer
What topic will you be discussing? *
Your answer
How will your topic incorporate a link to science, technology, engineering, or math?
Your answer
What part of the day will you be able to make your presentations? *
Will you be providing a hands-on activity? *
Would you like suggestions for a hands-on activity for your topic? *
What technology or other equipment will you need?
Your answer
Do you have any other special requests?
Your answer
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