JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stay current with MILI news and events
Sign up here to get added to our MILI mailing list! You don't want to miss out on our newsletter or events emails!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Last Name
*
Your answer
Preferred email
*
Your answer
Title
*
Your answer
Company/Organization
*
Your answer
What is your role?
*
Alumni
Industry partner
Faculty/staff
Student
Other:
If a student, alumni or faculty/staff, what is/was your college and program?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.
Report Abuse
Forms
