Speaking of Science Event Data Submission
Scientist Name
First Name
Last Name
Email
example@example.com
Event Location/Organization (school etc)
Event Date
-
Month
-
Day
Year
Date
Visit Start Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
How many presentations were given?
Complete the table below to account for all K-12 participants served in a single visit/day. Enter the number of participants by sex and race/ethnicity in the space provided below.
Rows
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiin or Pacific Islander
White, Not Hispanic or Latnio
Male
Female
Complete the table below to account for all disabled participants served in a single visit/day.
Rows
# of students
Hearing Impaired
Visually Impaired
mobility impaired
Other Impairments
Complete the table below to account for all adult participants served in a single visit/day.
Rows
# of adults
# of adults
Submit
Should be Empty: