PGFI Outreach_Interested
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1
. Last Name:
Last Name:
*
2
. First Name:
First Name:
*
3
. Email Address:
Email Address:
*
4
. Position/Rank (e.g., undergrad student, faculty, lab manager):
Position/Rank (e.g., undergrad student, faculty, lab manager):
5
. What types of opportunities may we contact you about (check as many as appropriate)?
What types of opportunities may we contact you about (check as many as appropriate)?
Presentations/Talks
Lab Tours
Lab Demos
Other (please specify)
6
. What types of audiences would you be interested in helping out with (check as many as appropriate)?
What types of audiences would you be interested in helping out with (check as many as appropriate)?
Elementary or Middle School Students
High School Students
College Students
General Public (adults)
General Public (kids)
Anybody who needs it
Other (please specify)
7
. What is your area of expertise? What types of topics could you share?
What is your area of expertise? What types of topics could you share?
8
. Comments/Other?
Comments/Other?
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