Entomology

Tours and Talks
The Department of Entomology at Purdue University offers insect related talks on and off campus to school and other public groups. Please complete this form to request a program. Be specific in letting us know your interests and needs. Forms must be submitted at least one month in advance of the requested date, and programs will be scheduled as availability of dates, times, and presenters permits. Off-campus program donations and mileage may be requested. You will be sent a confirmation of your program.
* You can either print out the pdf file and send it by mail or fill out current forms and send it electronically *
School/Group Name:

Location of Presentation (check one):

Would you like to have the presentation on Purdue's West Lafayette Campus (yes or no)?
If no, please specify other location
(including address):
Number in Group:
Age/Grade of Participants:
Date and Time of Visit (please list three different days and associated times):

1.
2.
3.
Are you interested in a specific topic(s)? Please identify:
How does this talk/tour fit into your overall program/curriculum?
Contact Name:
Street Address:
City:
State:
Zip Code: 
Phone: (work)
(home)
Fax:
Email:
Do you require auxillary aids or services? (please specify)