JSNN Outreach Request

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Your Name *

Your Email Address

Your Phone Number

Are you making the request on behalf of a school or community group? If yes, which one? *

Which of these describes your request? Click all that apply. *

I want to tour JSNN.

I want to hear a research presentation from a JSNN faculty member or graduate student.

I want to hear from a panel of JSNN graduate students.

I want the JSNN Education and Outreach team to visit my school or community group.

I want to participate in a Nano or STEM-related hands-on activity.

I'm not sure what I want to do, and I would like to schedule a Zoom meeting to discuss options.

Other:

Required

Have you ever been to JSNN? *

Yes

Approximately how many people will participate in the outreach event? *

What time of day works best for you? *

Between 9am and 12pm

Between 12pm and 3pm

Between 3pm and 6pm

Provide 4 or more dates that work well for you. Please note that our next available dates are in September of 2023. Keep in mind that Fridays are the best days for outreach activities based on availability of students, staff, faculty, and space. *

Is there anything else that you would like to share so that we can plan an outreach event that will meet your needs? *

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