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2017 UW-Madison Science Expeditions: Presentation Sign-Up
[Note: This is the form for researchers to sign up to participate in UW Science Expeditions. For the website describing UW Science Expeditions to the public, please see http://www.science.wisc.edu/events-science-expeditions.htm ]


Thank you for your interest in participating in the 15th Annual UW-Madison Science Expeditions open house Saturday and Sunday, April 1 and 2, 2017!

Since 2003, UW Science Expeditions has been welcoming the people of Wisconsin to their public, land-grant research university. We appreciate your help in extending hospitality to visitors to campus on this special weekend.

You can provide at least three types of events as part of UW Science Expeditions:

1. Exploration Stations: These staffed, hands-on exhibits will run on two different dates, at three different locations. They are: from 10 AM to 2 PM at the Wisconsin Institutes for Discovery (Discovery Building) on Saturday April 1; from 10 AM to 2 PM at the Health Sciences Learning Center (HSLC) on Sunday April 2; and from 10 AM to 2 PM at Signe Skott Cooper Hall for School of Nursing faculty only on Sunday April 2.

2. Science Spectaculars: Shows such as Wonders of Physics or public lectures like Wednesday Nite @ The Lab can run anytime on April 1-2. You provide the presenter and the campus venue. Or contact Tom Zinnen at zinnen@biotech.wisc.edu for help nailing down a venue.

3. Destinations for Exploration: Nearly any UW site can be a Destination for Exploration. Events can include Tours of your lab or facility, or an Open House through part or all of your building. Examples from previous years include an Open House at the DC Smith Greenhouse and at the Botany Greenhouse, and both an Open House and Tours of the Atmospheric Oceanic & Space Sciences Building.

If after you register and find you need to change any of your information, please contact Ana Garic at ana.garic@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 in addition to emails from your site coordinator.

Deadline for signing up is March 15, 2017.

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?
Note: for Exploration Stations, the hub on Saturday, April 1 will be at Wisconsin Institutes for Discovery. The hub on Sunday, April 2 will be at Health Sciences Learning Center; in addition, Exploration Stations for School of Nursing faculty, staff and students will be held in Signe Skott Cooper Hall on Sunday, April 2. You can sign up for Saturday, Sunday or both.
Required
Location for Science Spectacular or Destination for Exploration (not for Exploration Stations)
Please specify room number and building name.
Your answer
Time(s) for Science Spectacular or Destination for Exploration (not for Exploration Stations)
Please specify beginning times and ending times (for example: 10:00 AM to 3:30 PM).
Your answer
Title of Your Exploration Station, Science Spectacular or Destination for Exploration
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 Destination for Exploration. This description will appear in the online Program.
Your answer
Your Department or Organization
Enter the UW-Madison department, center or unit; or student organization; or community organization that will be presenting the exhibit.
Your answer
Primary Contact
First Name Last Name
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 on the day of the event in this format XXX-XXX-XXXX
Your answer
Secondary Contact
First Name Last Name
Your answer
Secondary Contact Email
Enter your email as name@wisc.edu
Your answer
Secondary Contact phone
Enter the phone number where you can most easily be reached on the day of the event in this format XXX-XXX-XXXX
Your answer
What is the total number of tables you need?
Tables are 6 feet long
How many chairs do you need?
Check supplies that you will need.
Please indicate the quantity AND sizes of t-shirts needed (Unisex sizes: S to XXL). Note: if you do not indicate a size, you will be given a medium or large, depending on availability.
Your answer
Will a live vertebrate animal be used in your Exploration Station?
For those of you signing up for Discovery on Saturday April 1, would you like to request a volunteer to assist at your Exploration Station?
On Sunday, April 2, HSLC will provide 'floaters' for general assistance.
Stipend (Up to $200 for Exploration Stations, $100 for Destination for Exploration, and $350 for Spectaculars)
If you need funding assistance for materials for any of the above, please enter the dollar amount. If you do not need funding assistance please enter zero. Note that only limited funds are available, so please apply early. After completing this form please contact Cheryl Redman (redman@biotech.wisc.edu) immediately to start the process to receive funds for your participation. You must contact Cheryl in order to receive funds.
Your answer
Additional Needs/Questions/Comments
If you have any additional requests, please list them here and we will try our best to accommodate them (eg. extra chairs, dark room, projector, mat for floor for messes etc.)
Your answer
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