Prospective Science Day Career Panelists
Thank you for your interest in Hillside's Science Day. Please complete and submit this form if you or someone you know is interested in being on our Career Panel.
Your name (STEM professional) *
Your answer
Name of Person Referring you to Hillside Science Day *
Your answer
Current Employer *
Your answer
Job Title and Description of Current Work *
Your answer
Email address of Science/Engineer *
Your answer
Phone Number of Science/Engineer *
Your answer
Available time slots *
Required
Do you have a child who is a current student at Hillside? If yes, please share his/her name and his/her homeroom teacher (so we know where to place you): *
Your answer
Have you previously participated in Science Day as a career panelist? *
One of our goals for the Career Panel is to provide an opportunity for students to see themselves reflected in a diverse group of professionals in the STEM field. Is there anything you would like to share with us that would help us to ensure that we can provide diversity for each career panel?
Your answer
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