Outreach Event Request Form

Thank you for your interest in Department of Entomology Outreach programs. Please complete the form below to request form below with your event details. We will let you know if someone will be available for your event (please allow 1-2 weeks for a response).

Name of requester

First Required

Last Required

Suffix

Job Title Required

Phone Number Required

Email Required

Name of Event Required

Date of Event Required

Start Date and Time Required

End Date and Time Required

Audience Age Required

Approximate Number of Participants (if known)

Event Description Required

Who is it for (e.g., school, summer camp, library, etc.) and what type of program would you like? (e.g., presentation, educational display, live insects, etc.)

Educational Objective of Event Required

As a part of the University of Nebraska, our outreach programs have an educational objective. What are the educational or learning outcomes you are interested in?(e.g., insect life cycles, insect Olympics, etc.)