JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Science & Technology Action Plan: Endorsement Form for Organizations
The Science & Technology Action Committee is seeking endorsements from organizations of the Science & Technology Action Plan (
https://sciencetechaction.org/assets/pdfs/STAC_ActionPlan.pdf
). Please take a moment to review the plan. To endorse as an organization, complete the short form below. To endorse as an individual, please use this form:
https://forms.gle/phTRftFYZuth2Jem8
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your First and Last Name
*
Your answer
Your Professional Title
*
Your answer
Your Email Address
*
Your answer
Your Organization or Affiliation
*
Your answer
City of Your Organization
*
Your answer
State of Your Organization
*
Your answer
Zip Code of Your Organization
*
Your answer
My Organization is a:
*
Choose
Scientific Society
Academic Institution
Trade Organization
Private or Public Company
Advocacy Organization
Think Tank
Private Research Institution
Patient Organization
Other
Any Questions, Comments or Concerns?
Your answer
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.
*
I Agree
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
Forms
