STEM Pros Engage Public

Name

Email

Primary phone number

Alternate phone number

Your Role

Event organizer Organization employee Ball employee Volunteer Other (please describe)

What do you need support for

Presentation Panel Family/public STEM event Observatory or astronomy club event Other (describe below)

In your details, include what you’d like the Ball volunteer to do and focus on. (A specific NASA mission? Earth or space science and technology? STEM education and career options?)

Hosting Organization

Organization web address

Is this organization a registered 501c3 nonprofit

Yes No

Event Name (if applicable)

Event website (if applicable)

Event Date

Event Time

Please describe the audience (for example, families; general public; STEM professionals; elementary, middle school and high school students; media and so on)

families; general public; STEM professionals; elementary, middle school and high school students; media and so on.

Expected number of students

Expected number of adults

Do you provide any of the following

Mac computer/laptop PC computer/laptop Projector & screen WiFi/Internet access

Please describe any additional equipment factors

You may attach a PDF document (such as an agenda) to this request. This form does not confirm when documents have been attached

Please select a file

You may attach a PDF document (such as an agenda) to this request. This form does not confirm when documents have been attached

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STEM Pros Engage the Public

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