Prospective Science Day Career Panelists

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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) *

Name of Person Referring you to Hillside Science Day *

Current Employer *

Job Title and Description of Current Work *

Email address of Science/Engineer *

Phone Number of Science/Engineer *

Available time slots *

9:30 - 10:30 a.m. (Fourth grade)

10:30 - 11:30 a.m. (Fifth grade)

12:40 - 1:40 p.m. (Third grade)

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): *

Have you previously participated in Science Day as a career panelist? *

Yes

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?

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