LIAB REGISTRATION FORM

As a STEM professional we thank you for your interest in serving as a representative on the Sonoma County MESA Industry Board. We use the following information to better connect your interests with our current students.

First Name

Last Name

Contact #

Job Title

Employer Name

What partnership activities are you interested in supporting?

PARTICIPATION ON MESA’S INDUSTRY ADVISORY PANEL

STEM SHADOW DAY ORIENTATION AND TOUR

STUDENT INTERNSHIPS & MENTORING

ATTENDING & JUDGING AT A RESEARCH SYMPOSIUM

MOCK INTERVIEW SESSIONS

ALUMNI BRANCH OF THE LIAB

OTHER

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