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OSA Academic and Industry Chapter Meeting & Survey

1. Survey

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* 1. Please indicate your affiliation:

Central Connecticut State University

Springfield Technical Community College

Three Rivers Community College

Local Business (please specify below)

Other Local School (please specify below)

Please specify:

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* 2. We would love to get your input on what topics you might be interested in hearing about at future meetings and other events. Careers? Networking? Scientific lectures? Please share:

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* 3. In the future, we plan to offer the option to participate in these meetings by telephone/web. On a scale of 1 to 5 where 1= not at all likely and 5= very likely, please indicate your likelihood of participating in future meetings:

	1	2	3	4	5
In person	In person 1	In person 2	In person 3	In person 4	In person 5
Via phone/web	Via phone/web 1	Via phone/web 2	Via phone/web 3	Via phone/web 4	Via phone/web 5

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* 4. If in person, do you have suggestions for meeting locations?

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* 5. To join the chapter and to ensure you receive information about future events, please provide your email address:

Thank you!

With questions and to RSVP to future meetings, contact Judy Donnelly at jdonnelly@lasertechonline.org.