NASA MUREP Outcome Assessment: Student Participants
Privacy Act Notification:
The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.
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 09/30/2024.
1.
Please
select
the
MUREP-funded
program
you
participate
in
from
the
list
below.
2. Please provide your institution.
If
you do not see your institution listed, please select other at the
end of the list and specify your institution in the box provided.
Please write the full name of your institution. No
abbreviations.
3.
What is your
major?
4.
What is your minor?
5.
What
career(s)
are
you
currently
interested
in?
* 6. Have you participated in other NASA or STEM programs?
Yes
No,
but I plan to participate in other NASA or STEM programs next year No
* 7. Is the NASA or STEM program you have participated in or plan to participate in an internship?
Yes
No
Please describe the internship, select all that apply.
A
federal agency Pathways
internship, please
specify
An
internship at NASA, please specify
Another
internship, please
describe
Please describe the STEM or NASA program you have participated in or plan to participate in, select all that apply. Please skip this question if you have already described an internship in the previous question.
A NASA STEM
program,
please list or describe
A
STEM program, please list or describe
Other
Please list or describe your participation in {{ Q1 }}. For example, what did you do, and what were your responsibilities?
Please select from the list below how you found out about {{ Q1 }} at your institution. Select all that apply.
Emails
Professor
Referrals Word
of Mouth Events
Websites
STEM
program or organization at your institution (e.g., TRIO, Upward
Bound, clubs) Conference with NASA preference
None
of the above Other (please explain)
How long have you participated in {{ Q1 }} program at your institution?
1
- 2
semesters
3
- 4
semesters
5+
semesters
I
have not yet attended any MUREP-funded activity events
Please rate your agreement with the following statements based on how you feel about your involvement in NASA's MUREP-funded program at your school.
Of the three items below, where do you have the strongest feeling of belonging, or feel most accepted and part of a community? Pease rank the items from highest to lowest:
My
MUREP-Funded Activity
community/team/cohort
My
program
of
study
(major
community),
or
classes
if
no
major
declared
My college
or university
community
Sense of Belonging (2 of 3) Please rate your level of agreement with the following statements based on how you feel about your involvement in NASA's MUREP-funded activity at your school. Please note the term MUREP-Funded Activity Representative implies any faculty, staff, consultant, or representative that is active or a part of the MUREP activity of which you participate(d) in.
Representatives who are part of {{ Q1 }} notice when I am good at something.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree
Prefer
not to
respond
Representatives who are part of {{ Q1 }} value my opinions.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree
Prefer
not to
respond
Representatives who are part of {{ Q1 }} know I can do good work.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree Prefer not to
respond
I can really be myself in {{ Q1 }} community.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree
Prefer
not to
respond
Other students who are part of {{ Q1 }} at my school like me the way I am.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree
Prefer
not to
respond
During this academic year, it is likely that I will read research papers from a representative who is a member of {{ Q1 }} at my school.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree
Prefer
not to
respond
During this academic year, it is likely that I will attend a seminar hosted by NASA's MUREP-funded activity{{ Q1 }} at my school.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree Prefer not to
respond
During this academic year, it is likely that I will visit the lab of a representative who is a member of {{ Q1 }} at my school.
Strongly
Disagree
Disagree
Slightly
disagree
Slightly
agree
Agree
Strongly
Agree Prefer not to
respond
STEM
professionals
are
individuals
whose
professional
activities
relate
to
the
STEM
fields
(Science, Technology,
Engineering, or
Mathematics). Select the picture that best describes the current
overlap of the image you have of yourself and your image of what a
STEM professional
is.
Because of my participation in {{ Q1 }} at my school, I am more likely to continue along a STEM pathway.
Strongly
disagree
Somewhat
disagree
Agree
Somewhat
agree Strongly
agree
Please answer how confident you are that you can successfully complete the task from the following rating scale:
0 = Not at all confident 5 = Neutral
10 = Extremely confident.
Getting
the grades I
want
Taking
good class
notes
Studying
to perform well on
tests
Getting
papers done on
time
Preparing
for
exams
Researching
term
papers
Doing
well in my toughest
class
Talking
to my
professors
Getting
help and information at
school
Talking
to college
staff
Participating
in class
discussions
Asking
questions in
class
Would you recommend {{ Q1 }} to your peers?
Yes
No
Please select your gender
Female
Male
Do
not wish to
provide
Please select your ethnicity
Hispanic
or
Latino
Not
Hispanic
or
Latino
Do not
wish to
provide
Please select your race (select all that apply)
Native
Hawaiian or Other Pacific Islander Asian
Black
or African American American Indian or Alaskan
Native White
Do
not wish to provide Other (please specify)
Please select your grade-level
First
Year
/
Freshmen
Second
Year
/
Sophomore
Third Year
/
Junior
Fourth
Year
/
Senior
Choose not
to
report
Other (please specify)
Are you a Veteran?
No
Yes
(please specify
which
branch)
Would you be willing to participate in a follow-up focus group related to these questions?
No
Yes
(please provide your email below)
End of Survey Thank you for participating in our survey. We greatly appreciate your time and feedback.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Gilmore, Richard L. (GRC-HA020) |
File Modified | 0000-00-00 |
File Created | 2024-09-11 |