Chicago Science Works: Follow Up
Feedback and Involvement

Please provide your name/email if you're interested in staying in the loop regarding CSW and fill out the additional boxes if you're interesting in getting actively involved in the initiative and/or provide feedback.

If you would like to leave anonymous feedback, do not fill out name/email/title boxes, and just skip to the last question. This would mean we cannot contact you for further discussion/involvement unless you reach out, but we do value your opinion and ideas however you choose to offer it.
Name:
Email address:
What is your position or title?
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Would you like to be involved in the development of Chicago Science Works?
Clear selection
If so, what component/s of CSW would you be interested in helping to develop (select any that apply)?
Would you be interested in signing a Letter of Support representing the University of Chicago community for Chicago Science Works?
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Do you have any follow up questions or discussion items that were not addressed? If so, please list below:
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