Sustainable Materials Management Career Awareness Program

Academic Partner Sign Up Form

Primary Contact Information

First Name *

Last Name *

Title *

Email *

Organization Information

Name of Academic Institution *

Academia Category *

If selected 'other,' please describe.

Address 1 *

Address 2

City *

State/Province *

Zip *

Phone *

Please describe underserved, high-needs, economically disadvantaged, and/or underrepresented populations that your institution serves. This can include demographic information. Please include any information that demonstrates a commitment to diversity, equity, and inclusion. *

Please describe any existing academic student programs dedicated to sustainable materials management. Enter N/A if Not Applicable. *

*Note: Academic Partners must consent to the following to participate in the Program.

Is your academic institution committed to supporting Career Exploration events coordinated by NERC through student promotion and signup?

Career Exploration *

We are committed to promoting Career Exploration Event(s) to our students and providing any necessary sign up support.

Is your academic institution committed to supporting complimentary recycling training for students offered by NERC through student promotion and signup?

Training *

We are committed to promoting free training course(s) to our students and providing any necessary sign up support.

My academic institution consents to being listed as an Academic Partner on Career Awareness Program materials and communications.

Communications *

Our academic institution consents to being listed as an Academic Partner.

Any other comments or questions: