What is the best email address to coordinate your SaS Great Lakes video call(s)? *
Your answer
First name *
Your answer
Last name *
Your answer
What are your preferred pronouns?
OPTIONAL: In case of technical difficulties, is there a phone number you’d be willing to provide to the teacher you’ll be calling? If so, please provide below.
Your answer
What is your job title? *
Your answer
What is your university or agency affiliation? *
Your answer
City where you work *
Your answer
State/Province where you work *
Your answer
What is your career stage? [choose all that apply] *
Required
What kind of scientist are you? [choose all that apply] *
Required
What Great Lakes topics would you feel comfortable talking about? [choose all that apply] *
Required
How many video calls are you willing to participate in annually? (Approx. 45 mins per call) *
Can you present and engage in a Q&A session in languages other than English? If so, what language(s)?
Your answer
OPTIONAL: Some of the classrooms we're working with will have a high percentage of under-represented minority students. Ideally we want them to meet a scientist that looks like them or can relate to the challenges they may face. This question is optional. Do you consider yourself a member of any of the following? [choose all that apply]
With what groups are you willing to meet? [choose all that apply] *
Required
Write a short bio to share with students (less than 200 words) introducing yourself. Ideas for things to include: where you’re from, educational background, job duties, something interesting about yourself.
Your answer
OPTIONAL but encouraged: Email a photo of yourself (that will be sent with your bio to the teacher) to ktepas@illinois.edu with the heading "SaS Scientist Photo"
Clear selection
OPTIONAL: If you have a link to a bio page or any descriptions of the work you do that you would like to pass along, please list those here:
Your answer
OPTIONAL: If you’re on twitter and want to connect, share your Twitter handle. We are asking educators to use #GreatLakesSaS for any relevant tweets they post about the calls.
Your answer
OPTIONAL: Prior to a classroom call, would you like to run through your presentation with an outreach specialist (or share a PowerPoint file) for feedback? If interested, we recommend doing this two weeks before your scheduled call.
Clear selection
Any other questions or comments about the SaS program? If so, feel free to share below.
Your answer
A copy of your responses will be emailed to the address you provided.