Request a Presentation

First Name *
Last Name *
School Name or Group Affiliation *
Location of Presentation * (Please provide the full address)
Email *
Phone *
I would like to request a presentation from *	Engineer Geoscientist Both (an engineer and a geoscientist) No preference (either an engineer or a geoscientist)
I would like the following presentation options *	Presentation and Activity (1.5 hours) Presentation Only (45 minutes to 1 hour) Career Panel with Multiple Presenters (1 hour) Career Fair, Engineering or Geoscience Related Booth Event Other - please specify:
The number of volunteers preferred *

Select three presentation dates and times that you prefer for your presentation. Only one date and time will be chosen for the presentation.
Please note that presentations take a month or longer to coordinate. A response will be provided when updates are available.
Option 1 *
Option 2 *
Option 3 *

Age of students *	Grade 1 (ages 6-7) Grade 2 (ages 7-8) Grade 3 (ages 8-9) Grade 4 (ages 9-10) Grade 5 (ages 10-11) Grade 6 (ages 11-12) Grade 7 (ages 12-13) Grade 8 (ages 13-14) Grade 9 (ages 14-15) Grade 10 (ages 15-16) Grade 11 (ages 16-17) Grade 12 (ages 17-18)
Number of students participating in the presentation *
Items available for our volunteers to use on site *	Laptop Projector
Additional Comments/Information about this request

Request a Presentation from an Engineer or Geoscientist