Affiliate Application

Your Name *

First

Last

Your Email *

How did you hear about this opportunity?

Which of these represents your career stage? *

You do not qualify for this opportunity. If you feel you have received this message in error, please provide a justification below and our team will be in contact shortly.

Which of these represents your citizenship status? *

I am a U.S. Ciitizen
I am a Permanent Resident of the U.S.
I am neither of these

You do not qualify for this opportunity. If you feel you have received this message in error, please provide a justification below and our team will be in contact shortly.

Are you a NASA Civil Servant? *

Your Institution *

Institution Type *

Pronoun (select all that apply)

they/them
she/her
he/him
other

If you chose other, please describe

Select the topic area in which your work is most closely aligned. (Select all that apply) *

Astrophysics - Studies of the Universe
Space Experiments - Uses the spaceflight environment to study phenomena in ways that cannot be done on Earth
Earth - Studies of Earth, its processes and interconnected systems from space
Heliophysics - Studies the characteristics of our star and/or its effects across our solar system, and the atmospheres of planets
Planetary - Observations, studies and discovery of our solar system's planetary bodies
Astrobiology - Studies the habitability and search for life beyond Earth
Other

If you chose other, please describe

Select the area that most closely aligns with your current area of work *

Researcher
Professor
Mission Scientist
Mission Engineer
Other

If you chose other, please describe

Have you published in the past 5 years with NASA data? *

As described in the introduction, this program is intended to bring new early career scientists and engineers into contact with Science Activation teams with the goal of encouraging and facilitating new partnerships between these teams and active NASA subject matter experts.

On a scale of 1 - 3, 1 being not familiar and 3 being extremely familiar, how familiar are you with NASA’s Science Activation Program?

Selected Value: 1

What learner audience types are you most interested in working with? (Select all that apply) *

Formal education
Informal / out of school
Citizen science
Home / families
Neighborhoods / communities
Digital learning

What are your preferred target audience ages? (Select all that apply) *

0-4
5-10
14-18
19-22
23-26
27-99

It is our goal to build relationships with subject matter experts from all backgrounds and abilities. Information collected in this next section will be used to evaluate the diversity of the SMEs in our network.

Which of the following racial or ethnic (federal definition) categories do you identify with? (choose all that apply)

American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American. A person having origins in any of the black racial groups of Africa.
Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."
Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
I do not wish to answer

An individual with a disability is defined by the ADA as a person who has a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment. OPTIONAL - Voluntary Self-Identification of Disability

INTERVIEW QUESTIONS

Please describe what you hope to gain from your participation in the AGU SciAct Affiliate Program? (250-300 words)

What do you think is the value of educational outreach? (250-300 words) *

Consider one aspect of your work that you want to share with the public? In 250-300 words describe why you think it is important for the public to understand this aspect of your work. *

If you are a PhD candidate, please provide a letter of support from your PhD advisor acknowledging your time commitment to this program.

Click or drag a file to this area to upload.

I understand and consent that should I be awarded the opportunity to be an AGU/SciAct Affiliate I will apply the funds I am awarded to my in-person registration and attendance at the AGU 2022, I am expected to participate in all workshop activities hosted by the NASA SCoPE team associated with the AGU meeting, and complete any surveys regarding my participation in the program. *

I agree and consent

Should I be awarded the opportunity to be an AGU SciAct Affiliate, I consent that Arizona State University, the NASA SCoPE team, and NASA may use my photos, verbal / written statements, and videos / interviews to demonstrate impact of the program and for recruitment of new classes to AGU/SciAct Affiliate Program. *

I agree and consent

LPSC/SciAct Affiliate Application

Application closes 11:59pm PT January 9, 2025

As described in the introduction, this program is intended to bring new early career scientists and engineers into contact with Science Activation teams with the goal of encouraging and facilitating new partnerships between these teams and active NASA subject matter experts.

It is our goal to build relationships with subject matter experts from all backgrounds and abilities. Information collected in this next section will be used to evaluate the diversity of the SMEs in our network.

INTERVIEW QUESTIONS