EVENT Partner Questionnaire MOA Event Partner Questionnaire MOA Event Partner Questionnaire Please enable JavaScript in your browser to complete this form. – Step 1 of 3Event Contact InformationOrganization Name: *Event Contact Person: *Event Contact Email: *Event Contact Phone Number: *Will you have a secondary event contact?YesNoOrganization Name:Second Event Contact Person:Second Event Contact Email:Second Event Contact Number:Communications Contact Information (if different from event contact)Communications & Marketing Contact Person:Communications & Marketing Contact Email:Communications & Marketing Contact Phone Number:NextEvent InformationType of Activity:Please select all options that apply. For example, you may want to host a booth at the STEAM Carnival, a pre-registered event, and a booth at the Education and Career Center Booth. If so, check all applicable boxes and complete the following questions for each (available dates, audience, etc.) The STEAM Carnival will be in the highest traffic areas of the mall and will offer mall guests highly-engaging, hands-on activities. The Education and Career Center Booth is designed for recruiting students, sharing career opportunities, and will serve as the resource center for mall guests and event attendees. If you have any questions or technical difficulties while completing your registration, let us know at NCAT@northlandcollege.edu or by calling (218) 683-8801. STEAM CarnivalActivity BoothDays you will attend/host booth: STEAM CarnivalWednesday August 10thThursday August 11thFriday August 12thSaturday August 13thSunday August 14thPlease check ALL days that you are able to participate at the event.STEAM Carnival Technology DomainAgricultureAutonomous/TransportationBiotechnology/ChemistryEngineeringGeneral EducationInformation/CyberManufacturingPlease check the box that best describes your organization.What are you bringing for the STEAM Carnival?What sort of equipment do you plan to bring for the STEAM Carnival?Example: Race track, simulator, virtual reality, water tank, etc.This gives us a better idea of the amount of space your organization will need. Education and Career Center BoothBoothDays you will attend/host booth: Education and Career Center BoothWednesday August 10th 10 am-2:30 pmWednesday August 10th 2 pm- 6:30 pmThursday August 11th 10 am- 2:30 pmThursday August 11th 2 pm- 6:30 pmFriday August 12th 10 am- 2:30 pmFriday August 12th 2 pm- 6:30 pmSaturday August 13th 10 am- 2:30 pmSaturday August 13th 2 pm – 6:30 pmSunday August 14th 10 am- 2:30 pmSunday August 14th 2 pm- 6:30 pmPlease check ALL days that you are able to participate at the event.Student CompetitionVEX RoboticsDays of Student CompetitionWednesday August 10thThursday August 11thFriday August 12thSaturday August 13thSunday August 14thPlease check all of the days that the Student Competition will take place on or need the space reserved for.Pre-Registered Student Activity WorkshopCampDays you are available to host student workshops/campsWednesday August 10thThursday August 11thFriday August 12thSaturday August 13thSunday August 14thPlease check ALL days that your organization is available to host.Pre-registered activity audienceK-56-89-12Two-Year College StudentsFour-Year College StudentsCheck ALL that may apply.Estimate number of pre-registered student participants:0-2526-5051-100101-250251-499500+Pre-Registered Professional DevelopmentEducator WorkshopAdvanced Skills TrainingCredentialing CourseOtherIf other, please describeDays you are available to host workshops/professional developmentWednesday August 10thThursday August 11thFriday August 12thSaturday August 13thSunday August 14thPlease check ALL days that your organization is available to host.Pre-registered educator/professional development activity audienceGeneral PublicSecondary EducatorsPost-Secondary EducatorsIndustry ProfessionalsCheck ALL that may apply.Estimate number of pre-registered professional participants:0-2526-5051-100101-250251-499500+NextActivity InformationIn total, how many activities will your organization host? 0123456OtherBelow you will describe in detail each activity so we can add them to the STEAM Carnival webpage. If other, please describeName of Activity:Description of Activity:Duration of Activity:5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysName of 2nd Activity: Description of 2nd Activity: Duration of 2nd Activity: 5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysName of 3rd Activity: Description of 3rd Activity: Duration of 3rd Activity: 5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysName of 4th Activity: Description of 4th Activity: Duration of 4th Activity: 5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysName of 5th Activity: Description of 5th Activity: Duration of 5th Activity:5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysName of 6th Activity: Description of 6th Activity: Duration of 6th Activity: 5 minutes-15 minutes15 minutes- 30 minutes30 minutes- 60 minutes1-4 HoursHalf DayFull DayMultiple DaysIf more than 6 activities, please enter the details for the additional activities below.Organization Attendee InformationHow many individuals from your organization plan to attend?1234567891011121314151617181920212223242525+NCAT will be sending an attendee form to gather names, pronouns, and additional details.After clicking ‘Submit’ you will be redirected to the payment information page. Payments are processed through the Northland Community & Technical College Foundation. If you have any questions or technical difficulties with payment submission, contact lars.dyrud@northlandcollege.eduSubmit
