Let's Talk Science Portal - All LTS, All The Time

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Your Personal Information	The form below requires you to provide certain personal information including your mailing address, email address and phone number. Please keep in mind that although most of your personal information will not be viewable by other users, once you are registered, your name will be accessible on certain forms within the Site and you will no longer be anonymous to us or other registered users. Your email address will only be accessible to other registered users if you have checked the box below your email address giving permission for other users to view it. Only Let’s Talk Science staff will have access to all your information, when necessary as part of their jobs.
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Which council(s) or organization(s) fund your research?
Where did you volunteer or work with LTS?
Dates of previous involvement with LTS
I agree to allow LTS the right and permission to use, reproduce, publish, transmit, distribute and display answers that I have written for the following three questions, with my name following the quote.	Yes No
Description of previous involvement
Most memorable moment with LTS
What did LTS mean to you and your endeavours?
Who is your current employer?
What is your current position or title?
Are you still interested in science outreach?	Yes No Don't know
Which of the following areas are of interest?	receiving LTS newsletter by email visiting classrooms public lectures developing activities working with youth in the community email contact with isolated/rural schools mentoring students mentoring teachers mentoring LTS volunteers writing for the media fundraising advocacy connecting with LTS colleagues participating in impact research sharing community and career contacts science outreach book club alumni social events early years involvement interested in being connected with closest PP site
Are you still in contact with other past LTS volunteers? If so, and you are willing to provide their names and contact information, please provide it in the box to the right.
Photo permission. I hereby give Let’s Talk Science the right and permission to use, reproduce, publish, transmit, distribute and display photographs, in whole or in part, of me for use in Let’s Talk Science research, promotional or educational materials which include catalogues, brochures, posters, magazines, articles, books, CD-ROM, DVD, electronic newsletters and the Let’s Talk Science Internet web site. I understand that the Internet is not a secure medium; that any material posted on the Internet is accessible to anyone with Internet access and that while Let’s Talk Science has made every effort to secure its web site, it cannot guarantee privacy or control access to its web site. I hereby waive any right to inspect or approve the finished photographs, images, or printed matter that may be used in conjunction therewith or to the eventual use that might be applied.	Yes No
Permission to use quotes. Your comments are important to us. With your permission, LTS would like the opportunity to use your comments as a volunteer on our promotional, supporter and communication materials in print and/or electronic formats. If you agree that we can use your comments and refer to your name and affiliation, please check 'yes'.	Yes No