Schedule A Visit

The Husker Beef Lab schedules visits March through October


Western Nebraska Contact:	Eastern Nebraska Contact:
Brent Plugge, Extension Educator	Nathan Haman, Extension Assistant
Phone: 308-236-1235	Phone: 402-624-8068
Email: brent.plugge@unl.edu	E-mail: nhaman2@unl.edu

Schedule A Visit Request Form

NOTE: Request should be submitted at least 3 weeks in advance of requested date for visit.

Event: Required

City: Required

State: Required

Zip: Required

County: Required

Mail Address

Physical Address: Required

Contact Person: Required

Contact Position: Required

Contact Phone: Required

After Hrs. Emrg. Phone Number: Required

Contact E-mail: Required

Secondary E-mail:

Please provide non-school e-mail address due to possible school e-mail security issue.

Submitter Name: Required

(person filling out and submitting this form)

Submitter Phone: Required

Submitter E-mail: Required

Name of Principal:

Please indicate choices of dates that will work in order of preference. We will try our best to accommodate you on one of these dates.

Date 1: Required

Month

Day

Year

Date 2:

Month

Day

Year

Date 3:

Month

Day

Year

Date 4:

Month

Day

Year

Presentation Start Time: Required

New Hour

New Minute

Presentation Length: Required

examples: 45 minutes, one hour

Number of Presentations: Required

EXPECTED ATTENDENCE:

Elementary: Required

Jr./Sr. High: Required

Adults: Required

Will an electrical outlet be available? Required

Yes

Comments and questions:

Accept 1: Required

I understand the physical requirements for the 19’ Husker Beef Lab and will be able to provide the necessary arrangements for accommodations.

Accept 2: Required

I understand that the Mobile Husker Beef Lab is an educational program & agree to instruct the students & faculty that excellent behavior is expected.

Accept 3: Required

I understand that a fee may be charged to cover the expenses of bringing this educational event to your location.

Accept 4: Required

I understand that weather (snow, heat, etc.) may influence whether or not we attend or complete the event. In these cases, a decision on whether or not we are willing to attend will be communicated with you as soon as possible.

Leave this field blank