Nevada STEM Networks | Asset Map Survey
Please fill out one survey for each program your organization is currently hosting.

The following survey will ask for information about your STEM program. There are three sections: Program information, Audience Details, and Demographic Information. Only this section, Program Information, is required for placement on the asset map. Audience Details and Demographic Information is not required and will not be posted online if provided, but the information is helpful for the STEM Networks and OSIT when identifying opportunity gaps.

The answers to the questions below will be posted to the Asset Map. Please provide clear titles and descriptions of programs.  

Send any questions to T.Howard@gov.nv.gov or LDziminski@gov.nv.gov.
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The Nevada STEM Asset Map is an initiative of the Nevada STEM Networks, who thank you for your participation. You can find the map at https://osit.nv.gov/STEM/Regional_STEM_Networks/ 
What is the name of your STEM Program?

Note: Please complete a separate survey for each STEM program you are submitted for inclusion on the STEM Asset Map.
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What is the physical address of your STEM program?
Please list all locations if possible. Do not include locations of schools that are using your program. Specifically, we want to know if your program is available to multiple counties and communities. Please reach out to T.Howard@gov.nv.gov or LDziminski@gov.nv.gov for clarification if needed.
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What is the name of organization running the STEM program (if different from the name of your STEM program)? *
What is the organization's physical address? *
Organization website *
Program website, if different than the site shared in the previous section. (This will be shared on the interactive map if applicable.)
In which category does your program best fit? *
Please describe your STEM program.  Provide a 1-3 sentence description of the program.  (If your organization offers multiple programs, please submit a survey for each program individually. ) *
Organization Contact Person *
Organization Contact Email *
Organization Contact Phone *
Contact information to share on the public map, if different than above. Please include name, email and phone number.
In which counties is your program currently active? (This will be shared on the interactive map.) *
Required
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