Membership Application

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There is no "standard" STEMx member organization - however, current STEMx members tend to have these things in common:
* Non-profit or state agency
* Reach more than 500 students each year
* Represent the STEM education efforts of an entire state or significant region of the state

Complete this application below to be considered for membership in STEMx. We ask that each organization designates a single primary contact to represent your organization.

We are working very hard to ensure that there are representatives from each state. We will be in touch with an update following the completion of this form. For any questions, please email stemx@battelle.org.

Name of Organization

Organization web address

Organization Fiscal Agent Name

Organization logo

Option 1

Clear selection

Member Name (individual who will represent your organization)

Representative email address

Tell us about your organization: how does your organization support STEM efforts across your state? Who do you serve?

Estimated Annual Student Impact

Why are you interested in joining STEMx?

What is one success story from your organization that could benefit other STEMx members?

Would you be willing to share that story in a blog post, webinar or other communication?

Yes

Maybe

Clear selection

Are you a non-profit or state agency?

Yes

No (if no, explain in "other" field)

Other:

Clear selection

Do you belong to other national or state STEM organizations? Please list below

Please type your name below to acknowledge membership expectations. *

Please provide your phone number

Submit

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