Schedule A DOC Talk

The form below allows you to request a DOC talk for your classroom.

Please email doc@rso.wisc.edu if you need further assistance in making your request.

Name: *

Position:

School: *

Email: *

Street Address:

Work Phone:

Home Phone:

Choose a topic:

Specify Topic:

Students' level of content mastery or knowledge at time of talk:

Deadlines for requesting talks
January - April (talk request deadline February 15)
September - December (talk request deadline October 1)

Date(s) of Presentation:

Time(s) of Presentation:

(afternoons best)

Class Size: *

Grade Level:

Please include human organ specimens in presentation.:

Comments:

Updated: October 20, 2011 by admin

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