OzGrav Outreach Activities Form OzGrav Outreach Activities Form This form is for record keeping of outreach activities OzGrav ParticipantsAlexis AnsellAshna GulatiAshwathi NairBailee WolfeBlaze HouldenElla MartinHendrik CombrinckJoshua BainesJustin YuJyoti KaurLaura BurnLeonardo GianiMadeleine WillshireMadeline Cross-ParkinMitchell HooymansNandita KhetanNatalie BowesmanNeil LuNir GuttmanOlivia Vidal VelázquezPetra TangRianna BellRowina NathanSamuel SentschukSaurav MishraSimon HoSparrow RochTong CheunchitraYi Shuen Christine LeeEvent NameDate (START)(Required) MM slash DD slash YYYY Date (FINISH)*If more than one day MM slash DD slash YYYY Event Type*If an event with school student (first seven options) then go to questions 5 & 6, otherwise skip 5 & 6 School Visit (incursion) School Visit (at OzGrav Node) School Holiday Activity Public Outreach Event STEM Student Event (eg It Takes a Spark, etc.) Teacher Workshop (OzGrav delivered) Work Experience Program Public Lecture SciComm Training Conference Stall VR Demo Social Media Event Networking Collaboration Meeting Audience* Check all that apply School Students (Primary) School Students (Secondary) Teachers School Leaders Professional organisations and bodies Adults Families Students (Tertiary) OzGrav Members General public LIGO / Virgo / KAGRA Collaboration Members Industry / Business / End-users Government Departments / Agencies (State and Federal) Number of attendeesSchool namesDid this event include a presentation?(Required) Yes No Presentation nameEvent location OzGrav Node Domestic International Online Country if outside Australia India UK USA Japan Italy Other Node-hosted event location Swinburne ANU Monash Uni Adelaide Uni Melb U Syd UWA UQ U Auckland Other Then skip to 14State VICTORIA SOUTH AUSTRALIA NEW SOUTH WALES ACT WESTERN AUSTRALIA QUEENSLAN TASMANIA NORTHERN TERRITORY CityOther presenters / contributors / authors(If applicable) Your role(Required) Organiser Presenter Host Contributor Trainer Volunteer Other (Tick all that apply)Target organisation(if applicable)Lead organisation Swinburne ANU Monash Uni Adelaide Uni Melb U Syd UWA UQ Other (if applicable)Did you travel? (Optional) Yes international Yes interstate Yes local Hosted at own university Virtual No Other Additional notes (Optional)
