Idaho NASA EPSCoR Story Submission Form

Across the country, NASA EPSCoR helps improve research infrastructure by providing funding and opportunities to researchers and students. NASA and Idaho NASA EPSCoR wants to hear how their programs affected your career and life. We strive to make an impact and would be ecstatic to hear how our programs have impacted you. Please fill out the information. You can type your story overview and NASA content and resources used in the boxes provided, or you can attach a word document to this form. Thank you for your participation!

Name*

If you had a previous name while working with this program, please put your previous name here:

Email*

Phone Number

Year Participated

What year(s) did you participate in the program(s) you were involved in?

Select or enter value

Type of Program

Please select all that apply.

Select or enter value

Comment box

Story

1,500 character limit, including spaces. Please include: - Program name - Location - Interesting story/outcomes - Highlights If you had specific experiences with NASA and would like to share, please include the people you worked with and the resources you used. You can use the box below, or attach a Word document to this form.

Please attach files here

-Word/PDF document of story -Relevant pictures (If pictures are attached and faces can be seen clearly, you must fill out a NASA Media Release Form. You can find this form at https://www.nasa.gov/sites/default/files/files/NASA_Adult_Media_Release_Form.pdf

Drag and drop files here or

Captions

If you uploaded any photos, please provide a caption for the photos in the space below.

Do you give Idaho NASA EPSCoR permission to share your story/pictures?*

We may share it with: - NASA Headquarters, who may want to share with the public - Congressional representatives, who make NASA EPSCoR funding decisions - NASA ISGC website/Facebook, to share the benefits of the programs

Yes

Send me a copy of my responses

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