Samsung Austin Semiconductor Educational & Organizational Outreach Request Form

Please fill out this form if you would like to request a tour of the Samsung Austin Semiconductor campus and/or invite employees to attend an event at your site.

If you have any questions, please reach out to Jennifer Sabrsula (j.sabrsula@samsung.com)

Question Title

1. Please read and check each box below indicating that you have read and understand each of these statements. (Required.)

I understand that in order to effectively organize and schedule my request, I must submit my request at least 4 weeks in advance.

I understand that each request will go under a review and approval process.

I understand that a request must be received by a campus representative, students should not be submitting the request.

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2. Requestor's Full Name (Required.)

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3. Requestor's Email Address (Required.)

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4. Requestor's Phone Number (Required.)

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5. What type of organization? (Required.)

Elementary/Middle (Kindergarten - 8th Grade)

Secondary (9th Grade - 12th Grade)

Postsecondary (anything after 12th Grade)

Military

Other (please specify)

Samsung Austin Semiconductor Educational & Organizational Outreach Request Form

Question Title

* 1. Please read and check each box below indicating that you have read and understand each of these statements. (Required.)

Question Title

* 2. Requestor's Full Name (Required.)

Question Title

* 3. Requestor's Email Address (Required.)

Question Title

* 4. Requestor's Phone Number (Required.)

Question Title

* 5. What type of organization? (Required.)

1. Please read and check each box below indicating that you have read and understand each of these statements. (Required.)

2. Requestor's Full Name (Required.)

3. Requestor's Email Address (Required.)

4. Requestor's Phone Number (Required.)

5. What type of organization? (Required.)