Advisory Committee Member Application
Please complete this application for an organization (business, industry, K12, higher education, nonprofit, professional society, or economic development) that would like to become a member of the MSEN STEM Ecosystem Advisory Committee. We will contact you if we have any questions. Thank you!
Name of organization *
Your answer
Primary Contact Person (name, title, email address) *
Your answer
Alternate Contact Person (name, title, email address) *
Your answer
Type of Organization *
Organization's Website *
Your answer
Social Media: Please enter your Twitter handle, Facebook page ID, and other social media identifiers. *
Your answer
Briefly describe why your organization would like to join the MSEN STEM Ecosystem Advisory Committee. What will your organization contribute? What are the benefits that your organization would anticipate to receive by joining this committee? *
Your answer
Name of person who referred you to the MSEN STEM Ecosytem *
Your answer
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