NASA Office of Education Undergraduate Internship Impact Surveys - Baseline Instruments No. 1

#1 Internship Expectations Pre‐Survey 

Privacy Notice: This is an official NASA application hosted on Surveymonkey.com. This is not
a government application, the application is controlled and operated by a third party. NASA’s
Web Privacy Policy does not apply to this application. NASA will not maintain, use, or share
Personally Identifiable Information (PII) that becomes available through the use of this third
party application unless expressly stated and consent is obtained from the user. For additional
information on NASA’s Third-Party Privacy Notice please go to
http://www.nasa.gov/about/highlights/HP_Privacy.html.
Confidentiality Statement: In accordance with the Privacy Act of 1974, as amended (5 U.S.C.
552a), you are hereby notified that this study is sponsored by the National Aeronautics and
Space Administration (NASA) Office of Education (Education), under authority of the
Government Performance and Results Modernization Act (GPRMA) of 2010 that requires
quarterly performance assessment of Government programs for purposes of assessing agency
performance and improvement. NASA Education may use the information provided for statistical
purposes related to data collection instrument development and will hold the information in
confidence to the full extent permitted by law. Although efforts will be taken to ensure
confidentiality, there remains a remote risk of personal data becoming identifiable. A nonidentifying code number will be assigned to participants’ data records, which will be stored in
accordance with federal regulatory procedures and accessible only to the investigator. While
qualitative data is usually analyzed in aggregate, any use of individual data to illustrate specific
assessment results will be labeled in a manner to preserve the participants’ anonymity.
Information will be secured and removed from this server and location upon guidelines set out
by the NASA Records Retention Schedule 1392, 1 68D. For additional information, please go to
http://nodis3.gsfc.nasa.gIov/npg_img/N_PR_1441_001E_/NRRS_1441_0001.doc.
Introduction: This research seeks to support the mission of the NASA Office of Education by
asking you to take part in pre-internship surveys pertaining to our interest in the ways in which
NASA project activities impact outcomes for participants. The information we collect will help us
to improve the nature of the project activity and the accuracy with which NASA Education can
report to its community about the project activities it offers.
Purpose of the Study: Determine the degree to which instruments accurately capture the ways
participant outcomes are measured by data collection instruments.
Description of Study Procedures: You are asked to complete a short collection of related
surveys accessed by separate Surveymonkey links presented to you in the introductory email
from the NIFS Director or your NASA internship point of contact.
Study Consent: There are no foreseeable risks to participants electing to participate in this
study. Your participation is completely voluntary. In no way does refusing participation in preinternship survey development preclude you from eligibility for NASA education project activities
now or in the future. If you agree to participate, please answer the following questions to the
best of your ability.
Estimation of Time Required: To be determined through the testing procedure. Please note
your start time at the beginning of each survey. At the end of each, you will be asked to
approximate the time it to you to complete that particular survey.
Contact Persons: If you have any additional questions concerning the research, this passive
consent, or confidentiality of responses, please contact Dr. Lisa E. Wills, Senior Research
Associate, at lisa.e.wills@nasa.gov or call (202)258-6021.
Wills 

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#1 Internship Expectations Pre‐Survey 

I. About you
Please note your start time. At the end of this survey, you will be asked to approximate
the time required to complete this survey.
1. At what NASA Center are you based for this activity?
(Drop down menu options are as follows):

2. Do you have prior NASA experience?
o Yes, I have participated in a NASA opportunity prior to this one.
o No, this will be my first ever NASA experience.
3. What year is this for you in your in academic program?
o First year
o Second year
o Third year
o Fourth year
o Fifth or more
4. Are you currently pursuing your degree on campus (i.e. courses are
primarily on campus)?
o Yes
o No

Wills 

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#1 Internship Expectations Pre‐Survey 

5. What is the name of your highest level mathematics course completed,
with a grade of “C” or above on a 4.0 scale? (70 characters with
spaces):___________________________
II. Your experience applying for a NASA internship
6. Were you interviewed for this internship?
_No
_Yes
If yes, who interviewed you? (200 characters with spaces)__________________
7. Please describe the process of applying for this internship as compared to
applying for other internships. Was applying to this internship (Drop down
menu options are as follows):

Please explain your response (500 characters with spaces):_______________
________________________________________________________________
________________________________________________________________
________________________________________________________________
8. The length of time between when the internship application was due and
when I received an offer impacted my decision to accept the offer. (Drop
down menu options are as follows):

Wills 

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#1 Internship Expectations Pre‐Survey 

Please explain your response (500 characters with spaces):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
III. Expectations for your upcoming NASA experience
9. Please describe any expectations you have for your upcoming NASA
experience? For example, expectations for what you intend to accomplish, new
relationships you may form, or ways you anticipate developing professionally as
a student and/or researcher? (500 characters with spaces)_________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
10. Please provide a current email address and your NASA UUPIC number so
that we are able to connect your Pre-experience and Post-experience
surveys with your profile information in NASA’s database.
Email address: ______________________
UUPIC number: _____________________
I do not have a NASA UUPIC number:____
IV. Feedback on the overall survey experience:
Please provide the following feedback on your experience completing this survey:
11. How many minutes did you take to complete this survey? (whole number
only)___
Please indicate the level to which you agree or disagree with each statement, using the
drop down menu:
12. The survey instructions were clear. (Drop down menu options are as follows):

Wills 

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#1 Internship Expectations Pre‐Survey 

13. The questions were easy to understand. (Drop down menu options are as
follows):

14. Do you have any additional comments or feedback on the instructions,
questions, or survey navigation? (500 characters with spaces):___________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Thank you for participating!

Paperwork Reduction Act Statement: This information collection meets the requirements of
44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do
not need to answer these questions unless we display a valid Office of Management and
Budget (OMB) control number. The OMB control number for this collection is 2700-0159 and
expires 04/30/2018. We estimate that it will take 3 minutes to read the instructions and answer
the questions. Send only comments relating to this time estimate to: lisa.e.wills@nasa.gov

Wills 

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