DENVER EVALUATION NETWORK MEMBER STATEMENT
☐ Individual Member
☐ Institutional Member
Commitment: Individual Members contribute
10 hours as a Research Assistant (RA) for a
member organization or give an Evaluation
Capacity Building (ECB) presentation to the
membership. Attendance at the meetings is
voluntary. Individual Members serve on a
committee.
Commitment: Institutional Members select a
primary representative who will be the liaison
for institutional studies, reporting, and
attending meetings. The primary representative
attends at least 70% of meetings and serves on
a committee. Secondary representatives may
attend as desired.
INDIVIDUAL MEMBER INFORMATION
Name: Click here to enter text.
Title: Click here to enter text.
Member website: Click here to enter text.
Phone: Click here to enter text.
Email: Click here to enter text.
Individual Member Category (choose all that apply)
☐ Independent Consultant
☐ Student
☐ Other: Click here to enter text.
☐ Museum Professional
☐ Educator/Instructor/Professor
INSTITUTIONAL MEMBER INFORMATION
Legal name of member institution: Click here to enter text.
Institutional Member Mission Statement: Click here to enter text.
Member website: Click here to enter text.
Primary Contact for Institutional Member
Name: Click here to enter text.
Title: Click here to enter text.
Phone: Click here to enter text.
Email: Click here to enter text.
Secondary Contact(s)
Name: Click here to enter text.
Title: Click here to enter text.
Email: Click here to enter text.
Name: Click here to enter text.
Title: Click here to enter text.
Email: Click here to enter text.
Institutional Member Category (choose all that apply)
☐ Aquarium
☐ Historic Site
☐ Anthropology
☐ Historic House
☐ Arboretum/Botanical Garden ☐ History
☐ Art
☐ Historical Society
☐ Children’s
☐ Literary Arts
☐ Culturally Specific
☐ Military/Battlefield
☐ Film/Moving Image
☐ Monographic/Biographic
☐ Food, Wines & Spirits
☐ Nature Center (or Park)
☐ Hall of Fame / Memory
☐ Natural History
Denver Evaluation Network
☐ Planetarium
☐ Science & Technology
☐ Specialized
☐ Sports
☐ Toy
☐ Transportation
☐ Visitor Center
☐ Zoo
Revised: April 2015
DESCRIBE THE MEMBER’S SERVICE AREA
(audience served, including size, demographic characteristics, and geographic area) [500 characters]
Click here to enter text.
Please Note:

Submission of this application by the individual or institutional representative reflects the
member organization’s agreement with the following statements:
o I/We will carry out the commitments described below based on our membership type:
 Individual Members contribute 10 hours as a Research Assistant (RA) for a
member organization or give an Evaluation Capacity Building (ECB) presentation
to the membership. Attendance at the meetings is voluntary. Individual
Members serve on a committee.
 Institutional Members select a primary representative who will be the liaison for
institutional studies, reporting, and attending meetings. The primary
representative attends at least 70% of meetings and serves on a committee.
Secondary representatives may attend as desired.
Denver Evaluation Network
Revised: April 2015