PVSTEMNet INFORMATION UPDATE

College/University form

Name:
Email: 
Title    
Name of institution
Address line 1      
Address line 2      
City/Town            
If you are a faculty member, please indicate the area:

Indicate courses that you frequently teach:

Are you interested in offering professional development programs for teachers
yes   What areas/grades?
no

Are you interested in hosting school visits to your campus
yes    Details
no

Are you interested in visiting schools to give talks, offer hands-on experiences, etc?
yes    Details
no

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

Program contact: Name   Email Website

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

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