Member Survey - North Louisiana STEM Alliance

We are updating our membership roster and recruiting new members. Membership is currently free, but we need your contact information as we are making a directory and asset map necessary for our application to the Board of Regents LaSTEM Regional STEM Center application (due June 30). This survey should take only 10 minutes to complete. Thank you!

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* 1. Please enter your contact information. Include Company if you are representing your organization. If not, you may leave that section blank.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Do you have any alternate contact information you'd like to share?

Alternate email

Alternate phone

Other

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* 3. What is the best way to send you communications?

Facebook

Website

STEM Learning Ecosystems Members-Only Site

Mailchimp

Other (please specify)

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* 4. What is your website (if applicable)?

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* 5. What category/categories of "stakeholders" do you identify yourself with? (please check all that apply)

Non-profit organizations

STEM-expert organizations

Organizations emphasizing the arts

Formal PreK-12

Home school

Post-secondary organizations

Government

Professional organizations

Businesses

Initiatives

Museums

Career building organizations

Youth-based organizations

Charity and/or funding organizations

Out-of-School Time organizations (eg., afterschool, summer camps)

Other non-formal or informal STEM/STEAM based organization

Other (please specify)

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* 6. What are your "superpowers" (ie., things you can share with the NLSA)?

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* 7. What activities or products are your organization sharing in response to COVID19?

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* 8. What would you like to gain from your membership in the NLSA?

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* 9. Are there any new members you'd like to suggest? If so, please enter their contact information below.

Name

Company

Email Address

Phone Number

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* 10. Do you think we should assess a annual membership fee to support assistance with communications, database management, events, and other capacity-building needs? If so, please enter suggested amounts under each category.

Individual membership

Organizational membership

Sponsorships

Other

Member Survey - North Louisiana STEM Alliance

Question Title

* 1. Please enter your contact information. Include Company if you are representing your organization. If not, you may leave that section blank.

Question Title

* 2. Do you have any alternate contact information you'd like to share?

Question Title

* 3. What is the best way to send you communications?

Question Title

* 4. What is your website (if applicable)?

Question Title

* 5. What category/categories of "stakeholders" do you identify yourself with? (please check all that apply)

Question Title

* 6. What are your "superpowers" (ie., things you can share with the NLSA)?

Question Title

* 7. What activities or products are your organization sharing in response to COVID19?

Question Title

* 8. What would you like to gain from your membership in the NLSA?

Question Title

* 9. Are there any new members you'd like to suggest? If so, please enter their contact information below.

Question Title

* 10. Do you think we should assess a annual membership fee to support assistance with communications, database management, events, and other capacity-building needs? If so, please enter suggested amounts under each category.

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* 11. Would you like to serve on the Leadership Panel? If so, what can you contribute?

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* 12. Any other comments?