Welcome to the Physicists To-Go program! This year you will be paired with a teacher based on matching desired topic and time zone to better ensure ease of classroom visit. You may indicate as many topics of interest and possible time zones as you would like. To better ensure receiving a match, make sure you fill out all fields on the form.

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* 1. Honorific

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* 2. Name / Address

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* 3. Race and Ethnicity (Optional)

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* 4. Pronouns (Optional)

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* 5. How would you describe your institution/organization?

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* 6. Are you an APS member?

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* 7. If yes, please indicate your APS Member number:

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* 8. School Level you are comfortable presenting to: (Select all that apply)

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* 9. Most virtual visits will take place during the daytime (8-3) in the timezone of the classroom you are matched with. Considering where you live, what Timezone(s) would you likely be able to accommodate when scheduling a visit? (select all that apply)

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* 10. What topics would you like to speak to classes about? Remember that you will be talking to middle/high school or undergraduate students so even if the topic isn’t your main focus, you have more expertise than your audience. (Select all that apply)

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