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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