STEM Explorer Community Event Request

Please complete this form if you would like to request the Delta College STEM Explorer to visit your Great Lakes Bay Region community event or function for ages 12 and older. All events should be consistent with the vision and mission statement of Delta College and the specific purposes of the STEM Explorer program.

If you see this don't fill out this input box.

*Name of organization/person requesting the STEM Explorer

*Name of event

*Location of event (provide address)

*Date of event

*Event description

*Starting time of event

*Ending time of event

*Has the STEM Explorer program participated in this event in the past?

Yes

*Name of contact person

*Email address

*Phone number

All set?

Return to the STEM Explorer.