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About
Mission
History
Leadership Team
Work
STEM Landscape Refresh
Initiatives
STEM Landscape Surveys
STEM Signing Day Chicago
STEM Signing Day Gary
STEM Signing Day Roadshows
Mentor Program
Chicago Learning Days
My CHI My Future
STEM in the CHI
STEAMbassadors
STEM PUSH Network
Members
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Create Member Profile
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Chicago STEM Co-op Member Profile Survey
Your Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Title
Organization Profile Information
This section is intended to allow you to share information on your organization publicly on the STEM Co-op Member Directory on the STEM Co-op Website (chicagostempathways.org).
Organization Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Website
(Required)
Facebook Handle
Twitter Handle
Instagram Handle
LinkedIn Handle
TikTok Handle
Contact Name (Public)
First
Last
Organization or General Contact Email (Public)
What best describes your organization type?
(Required)
Business/Corporation
Foundation/Funder
Library
School
City Agency not Otherwise Captured
Museum/STEM Institution
College/University
Community-Based Organization
Other
Other
(Required)
Is your organization a direct-service provider?
(Required)
Yes
No
Unsure
Does your organization provide direct service to young people?
(Required)
Yes
No
Unsure
What age group(s) do you serve?
(Required)
Early Childhood
Pre-K
K-2
3-5
6-8
8-12
Young Adult (18-24)
What Chicago communities did you served this academic year and/or do you presently serve?
(Required)
Albany Park
Archer Heights
Armour Square
Ashburn
Auburn Gresham
Austin
Avalon Park
Avondale
Belmont Cragin
Beverly
Bridgeport
Brighton Park
Burnside
Calumet Heights
Chatham
Chicago Lawn
Clearing
Douglas
Dunning
East Garfield Park
East Side
Edgewater
Edison Park
Englewood
Forest Glen
Fuller Park
Gage Park
Garfield Ridge
Grand Boulevard
Greater Grand Crossing
Hegewisch
Hermosa
Humboldt Park
Hyde Park
Irving Park
Jefferson Park
Kenwood
Lake View
Lincoln Park
Lincoln Square
Logan Square
Loop
Lower West Side
McKinley Park
Montclare
Morgan Park
Mount Greenwood
Near North Side
Near South Side
Near West Side
New City
North Center
North Lawndale
North Park
Norwood Park
O'Hare
Oakland
Portage Park
Pullman
Riverdale
Rogers Park
Roseland
South Chicago
South Deering
South Lawndale
South Shore
Uptown
Washington Heights
Washington Park
West Elsdon
West Englewood
West Garfield Park
West Lawn
West Pullman
West Ridge
West Town
Woodlawn
Select All
Please provide your mission statement
(Required)
Please provide a brief description of your organization and its core work
(Required)
Please share any specific resources you believe may be helpful for STEM stakeholders
Please include links, as appropriate
Please share a high quality version of your logo
(Required)
Max. file size: 128 MB.
Share up to two photos you wish to include on your profile
Drop files here or
Select files
Max. file size: 128 MB.
Other General Information
This section is intended to allow us to understand your organization's needs and how the STEM Co-op and its members can best serve your organization and partner in service to Chicago youth.
How does your organization prioritize equity in the work you do?
(Required)
With what types of organizations has yours been most successful in partnering?
(Required)
Businesses/Corporations
Foundations/Funders
Libraries
Schools
Parks
City Agencies
Museums/STEM Institutions
Colleges/Universities
Community-Based Organizations
Please choose the types of organzations with whom you are most interested in and believe you have the capacity to partner in the next year?
(Required)
Businesses/Corporations
Foundations/Funders
Libraries
Schools
Parks
City Agencies
Museums/STEM Institutions
Colleges/Unversities
Community-Based Organizations
How is your organization actively involved in or how has it supported access to STEM in the past?
(Required)
What do you hope to gain from being a member of the Chicago STEM Pathways Cooperative?
(Required)
What resources are you most interested in receiving throught the Chicago STEM Pathways Cooperative and its members?
(Required)
Human Resources (e.g. STEAMbassadors, interns, volunteers)
Program Participation and Student Access (e.g. STEM in the Chi)
Data (e.g. landscape survey data, focus groups, connection to researchers)
Best Practices in STEM (e.g. best practices, validation evaluation tools)
Participation in Leadership of STEM Co-op
Participation in Meetings and City-Wide Convening
Partnership with Cross-Sector STEM Stakeholders
Advertising and/or Amplification of Your Organization's Work
Knowledge of City-Wide Events
Knowledge of City-Wide STEM Stakeholders
Access to Research Opportunities
Funding and/or Shared Resources
Other
Other
Additional Contacts
Are there additional contacts from your organization who you would like to ensure receives communitions from the Chicago STEM Pathways Cooperative?
(Required)
Yes
No
Additional Organization Contacts
(Required)
Full Name
Title
Email
Add
Remove
Are there additional organizations you think should complete this survey and participate in the Chicago STEM Pathways Cooperative, its meetings and/or initiatives?
(Required)
Yes
No
External Organization Contacts
Full Name
Affiliation
Email
Add
Remove
These individuals will automatically receive one automated email inviting them to complete the survey.
Promotional Opportunity with My CHI. My Future.
Is there summer programming your organization is leading that you want featured on the My CHI. My Future. App so young people can connect with you directly?
(Required)
Yes
No
Please provide a brief description of the opportunity, including any relevant details (e.g. cost, age groups, location, important dates, times, topics, etc.)
(Required)
Optional Field
Is there anything else you want us to know?