College/University *

Network Member? *
- Select Option Yes No

Institutional Representative #1 - Name *

Institutional Representative #1 - Title *

Email *

Phone *

Institutional Representative #2 - Name

Institutional Representative #2 - Title

Email

Phone

Please describe your respective roles. How do you share the responsibility? Do you work as a team or separately? *

Have you attended one IR event during the past year? *
- Select Option Yes No

If yes, which event? *

Did you attend the 2019 Annual State Conference? *
- Select Option Yes No

If no, what prevented you from attending? *

If you will not continue as IR for 2020-21 (July – June), please indicate the new IR’s name, title, and contact information below if available.

New Institutional Representative - Name

New Institutional Representative - Title

Email

Phone

Please describe the programming you have sponsored on your campus during the past academic year (e.g. workshops, luncheons, or special activities) *

Please be sure to estimate the number of people in attendance and their assessment of the activity. *

Describe the meetings you have held for your committee. *

Who have you enlisted to help you and what have been the results? *

Please estimate how many people are involved in your planning team. *

What is the focus of the team you enlisted (e.g. all women on campus, graduate assistants, only women administrators, women department chairs and above, women administrators and those interested in becoming administrators, etc.)? *

Please describe: *

Describe the process of how you serve the communication conduit to women at your institution by disseminating appropriate information in the monthly IR News Update and quarterly MI-ACE Women’s Network Newsletter as well as professional development, professional advancement, grant/research funding, call for papers/proposals from MI-ACE, its member institutions or national ACE.

Have you forwarded these messages to individuals/groups on your campus? *
- Select Option Yes No

If yes, please identify the groups and estimate numbers involved in each group. *

Describe the impact of your receiving informational email messages from the MI-ACE Womens Network. *

Please describe: *

If yes, how many times?

If no, why not?

How else did you communicate? Email? Phone? Written report? *

Did you meet with another administrator in lieu of president, e.g. provost? *
- Select Option Yes No

If yes, please explain: *

Total number: *

Has your appointment as an IR led to other opportunities at your institution, such as inclusion in existing committees or events? (Examples: Diversity, Equity & Inclusion, Womens History Month, Equal Pay Day, Womens Center)? *
- Select Option Yes No

If yes, please explain: *

Has your IR role led to opportunities outside your institution such as appointment or volunteering for a local, regional or state board, commission or task force? (Examples: Athena event, League of Women Voters, Womens Commission)? *
- Select Option Yes No

If yes, please explain: *

Name

Title

Email

Phone

Name

Title

Email

Phone

Name

Title

Email

Phone

Describe here: *

Describe here: *

Do you have a womens commission, womens resource center director board, or equivalent body at your institution? *
- Select Option Yes No

If yes, have you met with this body on behalf of the MI-ACE Womens Network during the past year? *
- Select Option Yes No

If yes, how many times? *

What was the focus of your conversation? *

Name of group *

If no, why not? *