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Museum Girls’ Day at the Saturday, February 29, 2020 | 10 a.m. - 3 p.m. LSU Museum of Natural Science 119 Murphy J. Foster Hall Baton Rouge, LA 70803 Sponsored by Halliburton Hosted by the LSU Museum of Natural Science, LSU College of Science and the LSU College of Science Ofce of Diversity and Inclusion GEAUX Explorations SCIENCE

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Page 1: Girls Day at the Museum Application Form 2020 › science › news_events › geaux_science_explora… · LSU Girls’ Day at the Museum Parent Authorization Form - 2020 My daughter,

.

MuseumGirls’ Day

at the

Saturday, February 29, 2020 | 10 a.m. - 3 p.m. LSU Museum of Natural Science

119 Murphy J. Foster Hall Baton Rouge, LA 70803

Sponsored by Halliburton Hosted by the LSU Museum of Natural Science, LSU College of Science

and the LSU College of Science Ofce of Diversity and Inclusion

GEAUX

Explorations SCIENCE

Page 2: Girls Day at the Museum Application Form 2020 › science › news_events › geaux_science_explora… · LSU Girls’ Day at the Museum Parent Authorization Form - 2020 My daughter,

WANTED: Thinkers, explorers and hidden gem-seekers—for an educational journey that can take you anywhere.

The LSU Museum of Natural Science and the College of Science invite girls in grades 4 through 6 with an interest in science to apply for Girls Day at the Museum 2020. This activity includes a fun-flled day exploring the museum collections, snacking and chatting with women scientists at LSU, and participating in exciting hands-on science activities.

Who’s eligible to participate? Girls in 4th through 6th grade with an interest in science.

Application Deadline: Friday, January 24, 2020

How do I apply? Complete the 2019 Girls Day at the Museum application form (attached).

The application requires a one-page essay about why you are interested in science and how you think science can change the world, a participant authorization form, and a photography and social media release form that must be completed and signed by a parent or legal guardian.

The application packet should be emailed to Valerie Derouen at [email protected]

Page 3: Girls Day at the Museum Application Form 2020 › science › news_events › geaux_science_explora… · LSU Girls’ Day at the Museum Parent Authorization Form - 2020 My daughter,

Girls’ Day at the Museum Application Form - 2020

Name:

Home Address:

City, State, Zip:

Phone Number: Email:

School:

Grade level: GPA:

How did you hear about us? ❏ Web ❏ Social Media ❏ School ❏ Church ❏ Other:

Have you ever attended Girls Day at the Museum before? ❏ Yes ❏ No

Are you on social media? If so, note the social media you use and your social media name (ex. @lsuscience).

❏ Instagram @ ❏ Twitter @

❏ Facebook ❏ Snapchat

What are you interested in doing? Choose your top three!

❏ Helping people live their healthiest lives inspires me. I want to improve the health of others.

❏ Our Earth is precious. I want to preserve and nourish our environment.

❏ I love outdoor adventures. I want to work outside and explore uncharted territories.

❏ Numbers are my jam! I want to work with numbers.

❏ Solving problems and uncovering scientifc mysteries fuel my soul.

❏ How do I want to make the world a better place? One student at a time. I want to educate future generations.

Please list some of your previous science experiences (for example: participated in a science fair, took a tour of a laboratory, attended a science related presentation, participated in a science activity)

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Page 4: Girls Day at the Museum Application Form 2020 › science › news_events › geaux_science_explora… · LSU Girls’ Day at the Museum Parent Authorization Form - 2020 My daughter,

ESSAY QUESTION: Scientists answer answer important questions. These questions afect the way we take care of our health, create new technologies, and better understand our universe. In your essay, please explain 1) what important question would you like to answer as a scientist or mathematician, 2) why this questioin important, and 3) describe how you would use science and math to answer your question.

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Page 5: Girls Day at the Museum Application Form 2020 › science › news_events › geaux_science_explora… · LSU Girls’ Day at the Museum Parent Authorization Form - 2020 My daughter,

LSU Girls’ Day at the Museum Parent Authorization Form - 2020

My daughter, has my permission to participate in Girls Day at the Museum, Saturday, February 29, 2020 at the LSU Museum of Natural Science, 10 a.m. - 3 p.m.

❏ Yes, I would like my daughter to receive more information about LSU programsand events.

❏ No, I would NOT like my daughter to receive information about LSU programsand events.

❏ Yes, you can publish my daughter’s application essay in LSU College of Sciencecommunications.

❏ No, you can NOT publish my daughter’s application essay in LSU College of Sciencecommunications.

Parent name (please print:)

Parent/guardian signature:

Photography and Social Media Release:

I hereby grant Louisiana State University permission to make photographs, videotapes, and sound recordings, separately or in combination, of my daughter. Further, I relinquish and give to Louisiana State University all rights, title, and interest I may have in the fnished photographs, videotapes and/or sound recordings strictly for the purpose of the promotion of Louisiana State University by the LSU Division for Strategic Communications, LSU Museum of Natural Science and the LSU College of Science.

Print name of parent/guardian:

Parent/guardian signature:

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