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)

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

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

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* 3. Requestor's Email Address

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* 4. Requestor's Phone Number

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* 5. What type of organization?

Elementary/Middle (Kindergarten - 8th Grade)

Secondary (9th Grade - 12th Grade)

Postsecondary (anything after 12th Grade)

Military

Other (please specify)