Online Invitation Form
Step 1
Event
Step 2
Speaker
Step 3
Organization
Step 4
Remarks
Step 1: Event Description
Date of event or conference:
(
YYYY
-
MM
-
DD
)
(required)
Is the event date flexible?
(required)
Select one...
Yes
No
Indicate a period
Start date of the event
(
YYYY
-
MM
-
DD
)
(required)
End date of the event
(
YYYY
-
MM
-
DD
)
(required)
Time and duration of the event:
Date by which you require an answer
(
YYYY
-
MM
-
DD
)
(required)
Name or theme of the event
(required)
Is your event part of a fundraising campaign?
(required)
Select one...
Yes
No
Venue (hotel, meeting room, gymnasium, etc.)
(required)
Address of the event
(required)
Description and objectives of the event
(required)
Is there an exhibition component planned during your event?
(required)
Select one...
Yes
No
Date of the exhibition (if different from the date of the event):
(
YYYY
-
MM
-
DD
)
Would you like the speaker/astronaut to talk about a specific topic?
Select one...
The Benefits of the Canadian Space Program
Careers in Space
The History of Canada in Space
Canada's contribution to the international Space Station
Space robotics
Exploring Mars
Life and physical sciences (Research in weigthlessness)
Space medecine (how the body adapts to space)
Living and Working in Space
Astronomy, the Solar System and the Universe
Using Space to Monitor and Protect the Earth and its Environment
No preference
Other topic (please indicate which one in the box below)
Second choice
Select one...
The Benefits of the Canadian Space Program
Careers in Space
The History of Canada in Space
Canada's contribution to the international Space Station
Space robotics
Exploring Mars
Life and physical sciences (Research in weigthlessness)
Space medecine (how the body adapts to space)
Living and Working in Space
Astronomy, the Solar System and the Universe
Using Space to Monitor and Protect the Earth and its Environment
No preference
Other topic (please indicate which one in the box below)
Other
Audience
(select at least one of the following options)
(required)
General public
Association or group
Business/Industry
School or education-focused group
Other youth groups (e.g. Scouts, youth clubs)
Teachers
University
College
Government
Other
Please detail
(required)
If you are applying on behalf of a school or other youth group, please indicate the ages:
6-8 years old
9-11 years old
12-14 years old
15-18 years old
Number of persons expected to attend the event
Number of persons expected to attend the speaker's presentation
(required)
Preferred language
(required)
Select one...
French
English
Bilingual
What audiovisual equipment can you provide?
(select at least one of the following options)
(required)
Tip: Make sure that the presentation room will be dark enough for projecting images effectively.
Computer
Multimedia Projector
Audio connection into a sound system
Large screen
Microphone (preferably a lapel microphone)
Will the media be invited to the event?
(required)
Select one...
Yes
No
If not, can the CSA invite media?
(required)
Select one...
Yes
No
How will the event be publicized (by invitation, ad in newspaper, posters, etc.)?