Register to Become an i-STEM Partner

I am interested in becoming an:

Individual Partner
Partner Representing a Professional Organization
Partner Representing a Business
Partner Representing an Industry
Partner Representing a Foundation

General Information:
First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Home Email:
Organization/Business/Industry:
Title/Role:
Organization/Business/Industry Address:
Organization/Business/Industry State:
Organization/Business/Industry Zip:
Organization/Business/Industry Phone:
Organization/Business/Industry Email:
Date Entered:

Comments: (if applicable)

For more information contact:
Anne Seifert, STEM Coordinator
Education Programs
Idaho National Laboratory
Anne.Seifert@inl.gov
(208) 526-8027 Voice
(208) 521-4435 Cell