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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!

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

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?

Facebook

Website

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

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