Science Day Alumni Questionnaire
Name
*
Prefix
First
Middle
Last
Suffix
Maiden Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Zip Code
Year of High School Graduation or Expected Graduation?
*
Year ex-1992
In what year(s) did you attend State Science Day?
*
ex - 1982
From what school(s) did you attend State Science Day?
*
Please tell us what you have been doing since participating in State Science Day
What post-high school education do you have? (degree(s) & institution(s))
*
What scholarship(s), honor(s) or award(s) have you received since high school?
Who is your current employer and what is your position?
*
Your STEM field(s) of interest or expertise?
Please share - Anecdotes, testimonials or lessons learned from completing a research project prior to High School graduation.
Which of these Alumni benefits most interest you? (select up to 4)
Be an advocate for STEM education
Be a judge or reviewer for the Academy's program
Be a mentor to work with and inspire pre-college students
Be identified and portrayed as a career role model
Be recognized for outstanding career accomplishments
Provide contacts with corporations, professional societies, etc to support the Academy
Provide STEM policy advice to public officials
Support the Academy's programs financially
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