Chicago Science Works: Follow Up

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Feedback and Involvement

Please provide your name/email if you're interested in staying in the loop regarding CSW and fill out the additional boxes if you're interesting in getting actively involved in the initiative and/or provide feedback.

If you would like to leave anonymous feedback, do not fill out name/email/title boxes, and just skip to the last question. This would mean we cannot contact you for further discussion/involvement unless you reach out, but we do value your opinion and ideas however you choose to offer it.

Name:

Email address:

What is your position or title?

Undergrad

Grad student

Postdoc

Professor

Staff

Other:

Clear selection

Would you like to be involved in the development of Chicago Science Works?

Yes

Maybe in the future, keep me posted

Other:

Clear selection

If so, what component/s of CSW would you be interested in helping to develop (select any that apply)?

EcoLab (ecology, genetics, botany, zoology & environmental science youth makerspace)

PaleoLab (paleontology, archaeology, forensics, and earth & space science youth makerspace)

TechLab (engineering, robotics, electronics, computer programming & prototyping youth makerspace)

MediaLab (graphics, photography, videography & social media one button studio)

PaleoBiome (paleo greenspace with plants, animals and dinosaurs from Africa)

Scitopia Cafe (cyber cafe and online library)

Neighborhood recruitment and outreach

Fundraising efforts

I would just like to receive general updates

Other:

Would you be interested in signing a Letter of Support representing the University of Chicago community for Chicago Science Works?

Yes

Other:

Clear selection

Do you have any follow up questions or discussion items that were not addressed? If so, please list below:

Submit

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