NIST Events and Efforts Supporting National Cybersecurity Career Awareness - Collection Instrument - with Skip Logic

0693-XXXX-NIST-CybersecurityCareerAwarness-EventForm_CollectionInstrument-SkipLogic-WordVersion.docx

NIST Events and Efforts Supporting National Cybersecurity Career Awareness

NIST Events and Efforts Supporting National Cybersecurity Career Awareness - Collection Instrument - with Skip Logic

OMB: 0693-0082

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OMB Control #0693-XXXX

Expiration Date: XX/XX/XXXX



National Cybersecurity Career Awareness Week Event and Activity Portal

[* indicates a required field]

Information collected on this page will be published to a public-facing web site on nist.gov/nice/nccaw.


Contact Information

Name *

Organization’s Name*

Email Address*

Phone Number * ###-###-####

Website



Event or Activity Information

What type of event or activity are you planning (select all that apply)?

  • Issue a proclamation in support of National Cybersecurity Career Awareness Week

  • Develop an Op-Ed or blog for your local media or social media outlets

  • Develop and release a short video telling “your cybersecurity career story”

  • Provide a blog, article, video, or other resources to the NICE Program Office

  • Host an event

  • Other (please describe) 



Event Title*

Type of Event you plan to Host*

Open House/Facilities Tour

Event in community to present/talk about careers in cybersecurity

Job shadowing day or week

Careers exhibition

Career fair

Internship/externships/scholarship briefing

Classroom/School speaker

Classroom activities related to careers in cybersecurity

Other (please describe)


Start Date of Event* MM / DD / YEAR


Start Time of Event* HH : MM AM/PM


End Date of Event* MM / DD / YEAR


End Time of Event* HH : MM AM/PM


Event Host Affiliation (example: Industry, Government, Non-Profit Organization, K12, Higher Education, Etc.) *


How many attendees do you plan to impact? *


How will you measure impact and success?


Description of the event*


Is this event by-invite-only or open to the public? *

  • Invitation Required

  • Public


Who is the primary target audience? *

  • K12 students

  • College/University students

  • Parents

  • Teachers/Faculty

  • Administrators

  • Job-seekers

  • Employers

  • Non-profit organizations


Please provide the event location information below:*

Event Location

Site Name*

Street Address*

Address Line 2

City*

State*

Postal/Zip Code*

Country

Point of Contact

Name First Last

Email Address

Phone Number ###-###-####

Is this a multi-site event?

  • Yes

  • No

This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the PRA unless that collection of information displays a currently valid OMB control number. Public reporting burden for this collection is estimated to be ten minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing this burden, to the National Institute of Standards and Technology, Attn: National Initiative for Cybersecurity Education.



MEASSAGE AFTER FINISHED:

Thank you for your submission. Your event or activity will be added to our list shortly. Should you have any questions or concerns, please contact the NICE Program Office at nccaw@nist.gov.

Click here to go back to the event and activity list website.

This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the PRA unless that collection of information displays a currently valid OMB control number. Public reporting burden for this collection is estimated to be ten minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing this burden, to the National Institute of Standards and Technology, Attn: National Initiative for Cybersecurity Education.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorPruitt-Mentle, Davina (Fed)
File Modified0000-00-00
File Created2021-01-20

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