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SSMN Outreach Opportunities
This form is so we can keep track of outreach opportunities during the year.
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* Indicates required question
Email
*
Your email
Type of Outreach
Presentation
Tabling
Attending on behalf of SSMN
Other:
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Name of Event
Only if there is one
Your answer
Who is the host?
Business/organization/committee/club?
Your answer
Host Contact Information
include name and email
Your answer
Date and Time of outreach
Your answer
Location
Your answer
What is required of SSMN?
Your answer
Other information
Your answer
A copy of your responses will be emailed to the address you provided.
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