X-STEM Workshops

San Diego Partner Form

Thank you for providing this information to help us prepare for your organization's participation in the X-STEM Workshops event!

Please visit the Workshop Info Page for up to date details including the agenda, venue, format, and more.

Main Contact Details

Organization Name(Required)

Please enter exactly how you would like us to list your organization name on materials.

Main Contact for Workshop(Required)

The individual we should work with to coordinate your participation at X-STEM.

First Last

Email for Main Contact(Required)

Cell Phone for Main Contact(Required)

In case we need to reach you on the day of the event

Do you have a secondary contact you'd like us to cc on correspondence?(Required)

Name of Secondary Contact

First Last

Email for Secondary Contact

Workshop Content

Please refer to the Workshop Info Page for guidelines to assist you in planning your activity.

Please provide the title of your workshop:(Required)

This will be used on our website and other event materials.

Please provide a brief description of your workshop:(Required)

This will be used on our website and other event materials. Please be specific about the topic and experience - for example, here is a past workshop description “Students step into the world of precision with a hands-on metrology lab where they explore cutting-edge tools and techniques to measure with extreme accuracy.” See other samples of past workshop descriptions HERE.

Please provide your workshop objective:(Required)

Briefly describe what you want students to walk away understanding or knowing by the end of your workshop.

Please provide the organization's social media handles:

We will tag these in event promotion

Instagram

Facebook

YouTube

Additional Information

Upload Organization's Logo

Alternatively, you may email your organization's logo to nancy@usasciencefestival.org

Max. file size: 128 MB.

Do you grant permission to Science Spark, a 501(c)(3) non-profit, to photograph, videotape, and/or record your workshop?(Required)

By participating, you agree that your workshop may be photographed, taped, and/or recorded and grant permission for Science Spark (parent organization of X-STEM and the USA Science Festival) to use your image or voice in all forms and media as permitted by law. Participants waive the right to inspect or approve versions of your image or voice or the written copy that may be used in connection with either.
Workshop speakers retain all ownership rights, including copyright, patents, trademarks, and other intellectual property of their content. No additional compensation will be made.

Yes

Other

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After submitting this form, you will see a page confirming that your submission was successful and you will receive an email confirmation to the address entered above.

If you do not see these confirmations or have any other issues with this form, please contact nancy@usasciencefestival.org.

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