100% of survey complete.

Thank you for inquiring about our grant-funded activities.

~ Donna Milgram
~ Executive Director, Institute for Women in Trades, Technology and Science

* 1. Are you interested in receiving information about our grant-funded online training and support where you will learn to increase the number of women in your STEM program(s)? The training is 10 weeks long, with asynchronous and synchronous components, followed by 6 months of follow up support. Each participant must commit to participate fully.

* 2. Are you interested in receiving information on free webinars on specialized topics on recruiting and retaining women in STEM?

* 3. Last Name

* 4. First Name

* 5. Job Title

* 6. Email Address

* 7. City

* 8. State

* 9. Institution

* 10. Are you connected to an ATE Project or Center?

* 11. ATE Grant Number and Title (if applicable):

* 12. Role in Grant (if applicable):

* 13. Member of The League for Innovation in the Community College:

* 14. Member of The American Association for Community Colleges:

* 15. Grade level(s) you work with (choose only one)

* 16. My job is best described by the following category:

* 17. What is the major career pathway (s), if any, that you are connected to? i.e. nanotechnology or computer networking.

* 18. Other Comments: