Chemistry 221 Class Presentation Element Request Form

Each student must reserve a unique element for their Class Presentation this term. To submit your request online, complete the form below.

Please note that it is quite acceptable to ask the instructor to pick an element for you! :) Also, you can email me directly if this is easier. Fields marked with * are required.

First Name: *

Last Name: *

E-Mail Address: *

Lab Section or Lab Time *

Requested Element *

Other Desired Elements (if the first is taken)

Comments (if any)

CAPTCHA Code: *

Thanks for taking the time to submit a Class Presentation topic request!

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Questions? Contact me!