Science & Technology Action Plan: Endorsement Form for Individuals
The Science & Technology Action Committee is seeking endorsements from individuals of the Science & Technology Action Plan (https://sciencetechaction.org/assets/pdfs/STAC_ActionPlan_v1d.pdf). Please take a moment to review the plan. To endorse as an individual, complete the short form below. To endorse as an organization, please use this form: https://forms.gle/ovf3asDsWMWiAqvG7
Sign in to Google to save your progress. Learn more
Your First and Last Name *
Your Professional Title *
Your Email Address *
Your Organization or Affiliation *
Your City *
Your State *
Your Zip Code *
Any Questions, Comments or Concerns?
By checking this box, I grant permission to be listed as a public endorser of the Science & Technology Action Plan. I also agree to be included in a mailing list for periodic updates related to the Science & Technology Action Plan. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy