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NLSA Member Survey
We are updating our membership roster and recruiting new members. Membership is currently free, but we need your contact information as we are making a directory and asset map. This survey should take less than 10 minutes to complete. Thank you!
OK
1.
Please enter your contact information. Include
Company
if you are representing your organization. If not, you may leave that section blank.
Name
Company (optional)
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Phone Number
2.
Do you have any alternate contact information you'd like to share?
Alternate email
Alternate phone
Other
3.
What is the best way to send you communications?
email
Facebook
Website
LinkedIn
Mailchimp
Other (please specify)
4.
What is your website (if applicable)?
5.
What category/categories of "stakeholders" do you identify yourself with? (
please check all that apply
)
Non-profit organizations
STEM-expert organizations
Organizations emphasizing the arts
Formal PreK-12
Home school
Post-secondary organizations
Government
Professional organizations
Businesses
Initiatives
Museums
Career building organizations
Youth-based organizations
Charity and/or funding organizations
Out-of-School Time organizations (eg., afterschool, summer camps)
Other non-formal or informal STEM/STEAM based organization
Other (please specify)
6.
What are your "superpowers" (ie., things you can share with the NLSA)?
7.
What activities or products are your organization sharing in for distance learning?
8.
What would you like to gain from your membership in the NLSA?
9.
Are there any new members you'd like to suggest? If so, please enter their contact information below.
Name
Company
Email Address
Phone Number
10.
If you have any more suggestions regarding membership, please write to us at nlastemalliance@gmail.com
Current Progress,
0 of 10 answered
