Science Speakers Program

All of the information submitted in this form will be posted on our webpage so that you may be contacted by those who need a science speaker in your designated topic or presentation title. If you would like to post more than one presentation please fill out the other presentation sections, otherwise leave them blank.

When updating your science speaker information, presentations that are presented in this form will be added to your current list. None of your other presentations will be removed. If you would like to remove a presentation or your entire record from our database please email Matt Giardina at giardina@lpl.arizona.edu.

(* Required Fields)

*Are you a current Space Grant Science Speaker?
Yes No

Contact Information
*First Name:

*Last Name:

*E-mail:

*Phone Number:
(xxx-xxx-xxxx)



Presentation #1
*Topic: (e.g. Chesmitry, Mathmatics, Careers, Astronomy)

*Title: (e.g. "How Paper is Made","Environmental Issues")

*Comments: (e.g. 1 Month Advanced Notice, Projector Needed)

*Grade Level:
Elementary School Junior High/Middle School High School/General Public



Presentation #2
Topic:

Title:

Comments:

Grade Level:
Elementary School Junior High/Middle School High School/General Public



Presentation #3
Topic:

Title:

Comments:

Grade Level:
Elementary School Junior High/Middle School High School/General Public



Presentation #4
Topic:

Title:

Comments:

Grade Level:
Elementary School Junior High/Middle School High School/General Public