MI STEM Partnership Board of Directors Membership Application Form

* Indicates required questions
Thank you for your interest in serving as a member of the Board of Directors for the Michigan STEM Partnership. Please complete the application form below.
Name *
First
Last
Job Title *
Company Name *
Email *
Work Phone # *
Mobile Phone #
Website *
Why do you have an interest in serving on the Michigan STEM Partnership Board of Directors? *
What skills, expertise and experience would you bring to the Board that would provide value? *
Each Board Member is asked to serve on at least one work committee. Which committee(s) would be of interest to you? *
What would you hope to achieve while on the Board of the Michigan STEM Partnership? *
What professional / personal constraints of your time or service might you anticipate? *
Is there any additional information you would like to share with us about yourself to help us make our evaluation of your potential selection as a Michigan STEM Partnership Board member? *
How were you referred to the MI STEM Partnership? *
Internet Search
Business Referral
News article
Event
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