SciREN Triangle/Educator Open House Researcher and Exhibitor Registration Form

SciREN Triangle/Educator Open House Researcher and Exhibitor Registration Form

Event info: Thursday, September 25, 2025, @6:00-8:30pm* NC Museum of Natural Sciences (11 W. Jones Street, Raleigh, NC 27601) *Exhibitors and scientists are asked to arrive by 5pm to set up your table.
If you want to have a table to provide a lesson plan, resources, or other FREE information and materials to teachers, then this form is for you! This form should take 5 minutes or less to complete.

**This registration is separate from the Lesson Planning Information forms, which you also need to fill out for making a lesson.** This will also be available on the Google Classroom.
Name*

First NameLast Name
Email*
example@example.com. Please note that each individual from a lab or organization that plans to attend should register themselves separately.
If you are a Scientist/Researcher, what is your university or organization affiliation?

NCSUUNC-Chapel HillDukeShawNC Central Univ.NC A&TElonECUUNC-WilmingtonUNC-GreensboroNC Museum of Natural SciencesWake TechOther
If you are an Exhibitor/Partner Agency, what is your organization affiliation?

EPANC Museum of Natural SciencesNC Museum of ArtNC Museum of HistoryNC ZooNCSU Extension Forestry, Project Learning TreeNCSU, Kenan FellowsNCSU, NC Plant Sciences InitiativeNCSU, Science HouseNC Sea GrantNC Space GrantNC School of Science and MathNC Wildlife Resources CommissionDEQ, Dept. of Air QualityDEQ, Dept. of Energy, Mineral, and Land ResourcesDEQ, Division of Water ResourcesDEQ, NC Geological SurveyDEQ, Office of Environmental EducationDNCR, NC State ParksDNCR, Office of Archives and HistoryDNCR, Learning Happens Here / America 250DNCR, Queen Anne's Revenge LabDuke GardensMorehead Planetarium and Science CenterOther
If you indicated "Other" for either of the two questions above please add your affiliation here:
If you work in/with a specific lab, subdivision, or program within the above affiliation, please list it here (e.g. Catalyst Program, or STEM Education Research Experiences for Teachers Program, etc.):
What's your position?*

FacultyPost-DocStaffGraduate StudentUndergraduate StudentOther
Have you or your group ever participated in a SciREN event before?*

YesNoUnsure
Are you planning to attend the Educator Open House and SciREN Networking event to present material?*

Yes, I plan to attendNo, I cannot attend but I would like to submit a lesson planUnsure
Briefly, what is your lesson plan topic?*
If you don't know specifics yet, that's fine. If you have some ideas, we can help you make them in to a great lesson plan! Note, if you are a partner agency, you are not required to submit a lesson plan via Google Classroom, you can just bring whatever materials/resources you already have available.
Will you have a live animal as a part of your presentation?*
Please note, all requested animals are subject to approval by NC Museum of Natural Sciences
Do you need access to a power outlet during the event?*

NoYes
Do you have any other requirements or requests in terms of accessibility that we should be aware of?
Do you have any questions or concerns for us?
Should be Empty:

SciREN Triangle/Educator Open House Researcher and Exhibitor Registration Form

If you want to have a table to provide a lesson plan, resources, or other FREE information and materials to teachers, then this form is for you! This form should take 5 minutes or less to complete.