Outreach Event Request Form

Thank you for your interest in Department of Entomology Outreach programs! Please fill out and email this completed form with your event details to entomology@unl.edu. That will send the request to our volunteers and we’ll let you know if someone will be available for your event (please allow 1-2 weeks for a response)

Name of requester Required

Title Required

Phone number Required

E-mail Required

Name of event Required

Date of Event Required

Month

Day

Year

Time of event (start and end time) Required

Audience age Required

Approximate number of participants (if known)

Please describe the event. 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.) Required

Educational objective of your event. 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.) Required

The Department of Entomology has a number of ready-made kits available for check-out that can be used to conduct your own insect programs.

Leave this field blank