STEM Questionnaire
If you are interested in engaging with BostonTechMom for STEM planning services, please complete this free, no-obligation questionnaire. It will help BostonTechMom determine whether we can assist you to find STEM program providers for your organization.
First and last name *
Your answer
Title *
Your answer
Organization *
Your answer
Website *
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Phone *
Your answer
Age and grade range you serve
Your answer
What have you budgeted ($) to spend on STEM programs? We need this information to ensure we can help develop a realistic plan.
Your answer
How much are you willing to spend per program?
Do you have a preference for timing of participation? Check all that apply.
When would you like to hold your programs? Check all that apply.
Tell us about previous STEM programs you have run and describe the experience for you and the students.
Your answer
What subject matter are you looking for? Check all that apply.
What are your goals and expectations for STEM programs? Please be specific.
Your answer
Are there specific topics you would like to offer?
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Tell us about the physical space where you would hold the program and whether students would have access to computers with strong, consistent WiFi.
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Is there any additional information you want to share?
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How did you hear about BostonTechMom?
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