Educational Outreach Participation Form
Name
Email Institution
Address
Phone
Fax
Dates you will be at Snowmass

Dates you would be available to participate in educational outreach activities (choose all that apply):
Week 1 (July 2-6)
Science Weekend (July 7/8)
Week 2 (July 9-13)
Week 3 (July 16-20)

 

Educational outreach activities you would prefer to participate in (feel free to check more than one box):
give a 30 min. talk for the public, with 30 min. for questions
hold a 30 min. interactive session with elementary or middle school children, a conversation about science and being a scientist (a small demo would help)
lead a 2-hour activity for elementary or middle-school children (hands-on or web-based)
   I would provide the activity
   I could lead one provided by others
perform a table-top demonstration at Science Weekend (basic physics, HEP-related technology, etc.)
   I would provide the demonstration materials
   I could use materials provided by others
be a docent at the on-line science fair during Science Weekend
Additional Comments: