Neutrino Day Proposal

I would like to propose:*

An informational displayA hands-on activityA demonstrationA speakerBecoming a community partnerOther
Have you hosted this activity at Neutrino Day before?*

YesNo
What is the name of your proposed activity, display, or demonstration?*
Name of the activity/speaker
Description*
Please provide a short description of the proposed activity, speaker, or community partnership contribution.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
What is the name of your research group, university, organization, or business? *
Your employer, institution, or self
Resources needed
All activities are provided with a 6-foot table, 2 chairs, and table cloth.

Please let us know if you require anything else in the checklist below. If you do not need the default resources, indicate that below.
What does your activity require?*

power/electricityWiFi accessan easelextra chairs or tablelarge floor space (more than a table)additional people (volunteers)I do not need a table for this activityOther
Is there anything else you need us to know? Or do you have a question?
Should be Empty: