PVSTEMNet INFORMATION UPDATE

Business/industry form

Contact person:

Name
Email 
Position/Title

Name of business

Company website 

Company Address
City/Town            

Type of Business:

Number of employees at this location:
1-50 50-100 over 100 over 500 over 1,000

Would you or your business be interested in working in any of the following areas?

career fair student internships working with Network in an advisory capacity
hosting site visits mentoring student employment/work study
offering mini-grants Visiting Schools teacher externships
Other (specify)    

Would you like to have someone work with you to offer any of these? yes no

Describe programs in support of improving STEM education offered by your business. Include grade level(s) and subject(s).

Program contact person: Name   Email

Are you currently a member of the Network? yes no
Are you interested in attending Network meetings and becoming a more active member? yes no
 

Comments:



Thank you!