STEM Equity Pipeline

P.O. Box 369
Cochranville, PA 19330
610-593-8038 phone
610-593-7283 fax
http://www.STEMEquityPipeline.org
Funded by the National Science Foundation HRD-0734056

Please complete this brief survey to inform us of how you have used the training you have received through the STEM Equity Pipeline project during the past three months. Thank you!

NOTE: The survey is estimated to take about ten minutes to complete, but each page has a 20-minute inactivity time out. If you do not submit a page within 20 minutes, it will time out and you will need to restart the survey.

Please email Greg Nagy (nagy.8@osu.edu) if you have any technical problems with this survey.

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* 1. First and Last Name:

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* 2. Position Title:

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* 3. Organization:

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* 4. Department/Program:

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* 5. Address:

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* 6. City:

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* 7. State:

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* 8. Zip Code:

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* 9. Phone:

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* 10. Fax:

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* 11. Email Address:

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