Women In Computing @ Indiana University

 

Just Be Interest Form

Thank you for your interest in Just Be. The first three fields are required.

  • Name:
  • Email:
  • School Name:

  • Job Title:
  • Phone Number:
  • Fax Number:
  • School Mailing Address:

  • How would you preferred to be contacted?
  • Tentative Dates to host Just Be at your school (e.g., 1st week of April; March 1, 8, or 15; etc.):
  • What kind of group will we be presenting to? (e.g., large group (lecture hall) or smaller groups (classes); math class; career day; 7th and 8th grade mix; all high school, etc.)
  • How many times will we present Just Be during the day?
  • If there are other teachers at your school whose classes we'll be visiting, please provide their contact information here:
  • Our usual presentation runs 45 minutes, however we can customize our presentation to whatever time frame you have available. How long would you like each presentation to be? (e.g., 20 minutes, 45 minutes, etc.)

  • Our student presenters can reach schools within a two-hour driving distance of Bloomington, IN in a one-day visit. Farther areas will require an overnight stay. Is your school within the range for a one-day visit? Yes No

  • Do you have a group of female students you would like us to meet with? (Just Be is presented to all students regardless of gender, but some schools have asked us to meet with a group of girls during lunch or after school.) Yes No

  • Questions and/or Comments?