Organization Membership Application

Historically Black Colleges or University (HBCU)

Hispanic-Serving Institution (HSI)

Tribal Colleges or University (TCU)

Alaska Native-Serving Institutions or Native Hawaiian-Serving Institutions (ANNH)

Predominantly Black Institution (PBI)

Asian American and Native American Pacific Islander-Serving Institutions (AAPISI)

Native American-Serving Nontribal Institution (NASNTI)

Other

None of the above

By checking the box below, I certify that I have read the member benefits and responsibilities; that I have a clear understanding of the expectations for my institution, and that my institution agrees to become an active member.(Required)

By checking the box below, I certify that I have been authorized to join NITIC ITIN on behalf of my institution by the administrator named.(Required)

Conference/Workshop

NSF ATE Resource

NITIC Newsletter

NITIC Website

NITIC Staff

ITIN Member

Social Media

Other

Early registration to NITIC professional development opportunities

Access to community of practice webinars

Access to curriculum and classroom resources

Collaboration opportunities with the network

Invitations to attend National BILT meetings

Eligibility to apply for mini grants

Travel support to attend conferences

Other

3 – Fully Implemented: We have multiple faculty and staff trained in BILT, and BILTs are established for multiple IT degree programs at our institution.

2 – Partially Implemented: We have 1–2 faculty and staff trained in BILT, and we have initiated or are launching our first BILT.

1 – Not Implemented: We have no faculty or staff members trained in BILT, and no BILTs have been launched.

3 – Strong: We boast a robust network of employer partners who are deeply engaged with our IT programs.

2 – Average: We maintain relationships with several dependable employer partners who actively participate in our IT programs.

1 – Needs Improvement: Our engagement with employer partners is limited, and there is room for improvement in this area.

I want to join the NITIC mailing list and receive the NITIC newsletter.

Organization Membership Application

Institution Demographics:

Primary Contact:

Alternate Contact:

Authorizing Administrator:

Additional Questions

Business Industry Leadership Teams (BILT):

Employer Engagement:

Organization Membership Application

Institution Demographics:

Primary Contact:

Alternate Contact:

Authorizing Administrator:

Additional Questions

Business Industry Leadership Teams (BILT):

Employer Engagement:

ITIN Account Login

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