AWIS Heart of Illinois Chapter

Please share your interests and ideas!

Which of the following activities/topics especially interest you? (Please rank order them, 1 being your top choice.)

guest speaker events ____

book club focused on science issues ____

book club focused on gender issues ____

brown bag lunches____

mentoring for students and/or new faculty____

professional shadowing days for aspiring young women scientists____

issues of balancing professional and family life____

career development/rejuvenation____

Would you be willing to assist AWIS in any of the following areas? (Check all that apply.)

promoting membership ___                       mentoring ___

fundraising ____                                        community outreach ____

event planning ____                                  communication ____

What activities would you like to see our AWIS Chapter engaged in?   Or, how could our AWIS chapter serve you better?

What days and times would work best for you to participate in AWIS activities?

What days and times do not work for you to participate in AWIS activities?

How can we reach you to   share information about AWIS activities?

Your Name                               ____________________________________________________

Your e-mail                                  ____________________________________________________

Your telephone number               ____________________________________________________

Please return this survey to Grace Johns, ISU Physics (Fax 309-438-5413 or by email at johns@phy.ilstu.edu ).    If you have questions, you may also phone her at (309) 438-8758.