STEM Hub Event Form
Please enter details for any upcoming STEM events that you would like to have posted to the West TN STEM Hub website and social media.
1
. Event Name:
Event Name:
2
. Event Date:
Event Date:
3
. Event time:
Event time:
4
. Event Location:
Event Location:
5
. Event Description:
Event Description:
6
. Event Website:
Event Website:
7
. Registration Date:
Registration Date:
8
. Registration Fee:
Registration Fee:
9
. Sponsoring Organization/School:
Sponsoring Organization/School:
10
. Contact Name:
Contact Name:
11
. Contact Number:
Contact Number:
12
. Contact Email Address:
Contact Email Address:
13
. Target Audience (select all that apply):
Target Audience (select all that apply):
K-12 Students
K-12 Teachers
Higher Ed Faculty
STEM Industry Professionals
Community Partners
Other (please specify)
14
. If your target audience includes K-12 students and/or teachers, please indicate the target grade level (select all that apply):
If your target audience includes K-12 students and/or teachers, please indicate the target grade level (select all that apply):
Not Applicable
Pre-K
Kindergarten
1st - 5th (elementary school)
6th - 8th (middle school)
9th - 12th (high school)
15
. Please indicate the STEM focus area of your event (select all that apply):
Please indicate the STEM focus area of your event (select all that apply):
Science
Technology
Engineering
Math
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