Lives & Lessons 2021 Panelists Interest Form

The goal of the Lives & Lessons conference is to raise the voices of those who are underrepresented in their field and to spread awareness of some of the challenges they face. This will equip attendees with a stronger voice that will advocate for change and equality. Panelists may share anecdotes, provide facts and information, express their points of view, motivate, inspire, and reveal the truth that minorities in engineering face real problems that no individual can solve on their own.

This year, we would like to have Lives & Lessons virtually through zoom.

If you would like to take part of Lives & Lessons as a panelist, please fill out this short form! This event will be open to anyone who would like to RSVP.

This event will take place on November 6th from 11 am - TBD.

The deadline to submit a form for external speakers outside Drexel University is October 1st.  For questions, please email: tms432@drexel.edu
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Name *
Age
Clear selection
Preferred Pronouns *
Email *
Phone Number *
What is your background in STEM? *
Do you feel that you would fit an Academic or Industry Panel? (For example, industry panelists would share more experience from their career history, and academic panelists would provide more experience from their school learning or teaching history) *
Why are you interested in being a panelist? (aspects of your underrepresented identity, your experiences, stories, advice, etc.) *
Can you be on a virtual zoom meeting on Saturday, November 6th? *
Would you be interested in attending a small in-person, on campus "Coffee Hour" following the event on Sunday, November 7th? *
If you cannot make this Lives & Lessons conference are you interested in helping with events like it in the future? *
Optional: Can you think of any questions you'd feel particularly comfortable or capable of responding to?
Optional: Are there any topics you would particularly like to avoid mentioning?
Optional: Any questions or comments regarding the event?
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