SCIENCE EXPEDITIONS 2012: Exploration Station Sign-Up
UW-Madison's 10th Anniversary of Science Expeditions will take place on Saturday, April 14, 2012 and the deadline for sign-up is March 31, 2012. After you've completed and submitted the sign-up form, if you need to change any information, please contact Ana Garic at anags@nutrisci.wisc.edu. We'll contact you if we have any questions and will send you an email the week prior to the event with logistics about setting up your Exploration Station.



REGISTRATION FOR SCIENCE EXPEDITIONS HAS CLOSED. However, you can still participate in the Afterschool Expeditions at WID! Lead a mini presentation or exploration station for elementary and middle school students visiting campus. Every Monday April 9th- May 21st (and beyond if there’s interest) Afterschool Expeditions takes place in the Wisconsin Institutes for Discovery. Sign up or find more information at http://discovery.wisc.edu/home/discovery/events/afterschool-expeditions/ We still need lots of presenters!
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Exhibit Title *
Enter the overall exhibit title (100 characters). This is the title we will use for the large sign we provide for your Exploration Station.
Full Description of Exhibit *
Please describe the content of your Exploration Station, Science Spectacular, or Sattelite Venue. This description will appear online and/or in the program.
Your Department or Organization *
Enter the UW-Madison Department  or community organization that will be sponsoring the exhibit.
Primary Contact *
Enter LAST NAME, FIRST NAME of primary contact person.
Primary Contact Email *
Enter your email as name@wisc.edu
Primary Contact Phone *
Enter your phone number on campus or at your organization in this format: XXX-XXX-XXXX
Primary Contact Cell Phone *
Enter your cell phone number, so that we may contact you during the event, if necessary, in this format: XXX-XXX-XXXX).
Secondary Contact
Enter LAST NAME, FIRST NAME of a secondary contact (OPTIONAL).
Secondary Contact Email
Enter a secondary contact email (OPTIONAL).
What is the total number of tables that you need? *
The tables are 6 feet long.
Will you need access to electrical outlets? *
Funding Assistance (Up to $200) *
Do you need funding assistance? If none, enter zero. If yes, enter a dollar amount up to $200.
Additional Needs / Questions / Comments
Enter any additional needs you have for water, sink, etc. or questions or comments.
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