to serve, support, and collaborate with faculty, students, and industry to be a leader in scientific visualization,and human computer interaction, through learning, discovery, and engagement.
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Please complete the Form

Request for Facility Use - Public

The completion of this form will allow us to provide you and your staff with the best opportunity to experience the various features of the Center. We usually reserve the third Friday (please check our website to confirm) for tour and public contact. Since we are a research facility, when ever possible please take advantage of this scheduling opportunity. Larger groups should contact Amanda Hart to coordinate your visit.
         [Sunday October 12, 2008 ]


Fax: 765 - 496 -7264

All fields marked with an asterisk (*) are required fields.
 
      Contact Information
          Name*:      Phone(xxx-xxx-xxxx)*:  
          Email*:      City/State*:
 
      Schedule Information
          Date of Tour / Demo:                     Date Time
         1st Choice:  
        2nd Choice:  
         3rd Choice:  
 
      Group Information
          Group/Company Name*: 
          Does the group have any special needs*:  Yes    No
          If yes, please explain:   
 
      Type of Use
          Engagement / Outreach
             Community Group   Age Group(grade level)   
             School                    Class Subject                  
          Is this part of a full day tour? Yes No
 
      Special Interests: 
          Please describe the type of use: 
 
      General Information
          How did you hear about the center?
 
        
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