Outreach Request

Submit an Outreach Request

Please don't fill out this input box.

Name*

Organization*

Topic of event*

Will your event require Florida Poly staff to travel to you?

Yes

Tentative date of your event*

Event Start time*

Event end time*

Brief description of request*

Estimated event attendance*Please provide us with an estimated number of people attending your event.

Education Level*

What subject area are you interested in?

Data/Computer Science

Mechanical Engineering

Electrical/Computer Engineering

Environmental Engineering

Other

We will try to accommodate requests as best as we can.

If other, enter here!

Contact name*

Contact phone number*

Contact email*