X-STEM All Access 2021 Attendee Question Form

Submit your questions for X-STEM All Access speakers here!

CLICK HERE to view the speaker line-up!

If you have already registered to attend the FREE X-STEM All Access virtual speaker series airing on April 20-23, please use this form to send us your questions in advance of the event.

If you haven’t yet signed up, CLICK HERE to access the registration site, view the speaker line-up, and more!

Please Note – this form is to submit questions in advance of the event.

We will try our best but, due to a high volume of requests, we can’t guarantee using all attendee questions during the livestream.

Please tell us about the person completing this form. I am a:*
- Parent
- Student Attendee
- Educator
- STEM Professional
What grade are you in?*
What grade do you teach?*
Your Name
First Last
School or Organization Name*
Email*
If you are under 18 years old, please enter a parent's email.
Where are you from City/State?*
If you are located outside of the United States, please list your country.
Who is your question for?*
You will need to submit a separate form for each question
What is your question for the speaker?*
If your question is selected to be read onscreen during the live event, how would you like to be addressed?*
For example: Mrs. Smith’s Science Class at First Middle School
If your question is selected to be read onscreen, do we have permission to say your first name and last name initial during the livestream and on-demand recording?*
- Yes
- No
Would you like to send a video of yourself or your class asking the question to be played during the livestream?*
- Yes
- No
How to Submit a Video Question
Filming Instructions:
- Say your first name (optional), where you are from (optional) and who the question is for. For example: Hi, I'm Sally and I have a question for Tracy Fanara, etc.
- When filming from your phone's camera, please hold your phone horizontally.
- UPLOAD your video by CLICKING HERE
Please read and provide your electronic signature below.
Video Waiver:
By submitting a video question, you are giving the USA Science & Engineering Festival permission to include this video footage in the X-STEM All Access virtual conference series without compensation to you. The X-STEM All Access virtual conference series will be recorded and made available on our website for non-commercial, educational purposes following the live event.
I understand that, due to a high volume of requests, the Festival can’t guarantee to show all video questions during the livestream.
I have read and understand the Video Waiver above:*
First Last

X-STEM All Access 2021 Attendee Question Form

How to Submit a Video Question

Please read and provide your electronic signature below.

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