Idaho NASA EPSCoR Picture 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 love to see their programs in action through your pictures! Please use this form to submit pictures and captions that we can share with our Idaho and NASA stakeholders. 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

Other year participated

Type of Program

Please select all that apply.

Select or enter value

Comment box

Please attach picture files here

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

Picture Captions

Please feel free to number or specify your pictures, as well as write a short caption about what is happening in the picture and who is involved.

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 Idaho NASA EPSCoR website to share the benefits of its programs

Yes

Send me a copy of my responses

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