What is your occupation and/or role within your industry or organization. *
Your answer
How would you like to participate in the STEAM Extravaganza? Please choose from the list.
Yes
No
General event volunteer
Lead an activity
Do a demonstration
Make a presentation
Showcase a STEAM related project
Lead a competition
Be a vendor (no food vendors please)
Other
Yes
No
General event volunteer
Lead an activity
Do a demonstration
Make a presentation
Showcase a STEAM related project
Lead a competition
Be a vendor (no food vendors please)
Other
Clear selection
If you answered "Other" tell us what you would like to do.
Your answer
If you are doing an activity or presentation, please describe what you plan to do. If you want to be a general event volunteer enter N/A. *
Your answer
If you would like to be a VENDOR please describe your product or service. How does it relate to STEAM (science, technology, engineering, artful innovation and math).
Your answer
What age group is recommended for your activity, presentation, etc...? Mark all that apply. General event volunteers choose N/A.
YES
N/A
All ages
Preschool -Kindergarten
4-5th grade
6-8th grade
9-12th grade
YES
N/A
All ages
Preschool -Kindergarten
4-5th grade
6-8th grade
9-12th grade
Clear selection
Please indicate which of the following are needed for your activity, demonstration, presentation, etc..Volunteers select N/A *
YES
NO
Maybe
Electricity
Water
Table(S)
Chair(S)
Tent(s)
Open space(lawn)
Open space(patio or hard surface)
Indoor space
N/A
YES
NO
Maybe
Electricity
Water
Table(S)
Chair(S)
Tent(s)
Open space(lawn)
Open space(patio or hard surface)
Indoor space
N/A
If you have any specific needs for your presentation/activity/display etc. not listed above describe them below. If not enter N/A *
Your answer
Do you plan on using any equipment from the STEAM lending library? If not enter N/A *
Your answer
What times are you available on Saturday May 18th, the day of the event? Mark all that apply.
YES
All day- Set up starts 8:30 am- Break down till 4:00pm
9:00 am-11:00 am
11:00 am-1:00 pm
1:00 pm-3:00 pm
Set up only-8:30 am-10:00 am
Break down only- 2:30 pm-4:00 pm
Other
YES
All day- Set up starts 8:30 am- Break down till 4:00pm
9:00 am-11:00 am
11:00 am-1:00 pm
1:00 pm-3:00 pm
Set up only-8:30 am-10:00 am
Break down only- 2:30 pm-4:00 pm
Other
Clear selection
If you answered "other" what times will work?
Your answer
Would you like to be a part of the event planning group? *
Would you or your organization consider sponsoring or donating to The STEAM Extravaganza or any specific part of the event? *
If you answered "Yes" and would like sponsorship/donor information, please provide us with the name and contact information for the person or company interested.
Your answer
Thank you for helping support The Umpqua Valley STEAM Hub!
A copy of your responses will be emailed to the address you provided.