Collaborator Data Collection

Thank you for assisting with our data collection efforts! This process enables us to evaluate the impact our program has within Iowa and improves our required reporting to NASA.


NASA Media Release: In the event that you are included in any project photos or reports which could be forwarded to NASA, or used on our social media platforms, please complete the NASA Media Release for ISGC's records, and upload it at the end of this form.

 
 
 
 
 
 
Phone
 
 
 
 

Demographics

Please complete the following to self-report demographics for NASA data collection and reporting systems.


NASA's goal in advancing equity, in line with President Biden's Executive Order, is to provide everyone with the opportunity to reach their full potential. This includes efforts to remove systemic barriers to and provide equal access to opportunities and benefits, identify communities the Federal Government has underserved, and develop policies designed to advance equity for those communities.

 

Please indicate which sex was assigned to you on your birth certificate.

 
 
 

Please check which best describes you. (You may select more than one.)

 

Are you the first person to attend college in your immediate family?

 

Rural is defined as a population of < 2,500.

 

For a definition of “Low Income” please visit http://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html

 
 
 

By checking the box below, you certify that the information you provide in this form is complete and accurate.

 
Drop your files here