Form completed by
Complete U.S. mail address, including campus ZIP.
Please word your program description for the general public. Include any business, educational, and societal areas to which this program may be of specific benefit.
The program is primarily a(n):
Please check all that apply. If none apply, leave them all unchecked.
Physical Location(s) of Program:
In order for Michigan Outreach to compile a complete list of all the locations where U-M outreach is currently active, please list all the cities and counties where your outreach is currently performed.
If your department offers public lectures, newsletters, events/performances, podcasts and/or videos you can add a link here. These links will be seen on your entry page. If you have additional outreach features, please send an email about them to firstname.lastname@example.org.