Lucy Asteroid Ambassador Request Form
Email address *
Name *
Email Address *
School Name *
School Zip Code *
What time / date are you hoping for an ambassador to speak to your group? (e.g. Mondays at 2pm ET, a Saturday sometime next spring, Tuesday or Thursday mornings PST next month)
Number of members / students (or typical number of meeting attendees) *
Why do you want a Lucy Ambassador to come speak to your group? *
Anything else you would like to share about your group/class?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy