NASA Earth and Space Science Fellowship Survey Welcome! As a past NESSF proposer, you have been selected to take part in a brief questionnaire about your experiences.
	
	
	
	
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 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. 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. Any information released (such as statistical summaries) will be in a form that does not personally identify you.
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.
	
	
Practical Information:
On average, it will take about 25 minutes to complete the questionnaire. Actual time may vary depending on your circumstances.
Your response is voluntary and failure to provide some or all of the requested information will not in any way adversely affect you.
Your response will help NASA improve opportunities and programming for future generations of graduate students.
We welcome you to contact amy.p.chen@nasa.gov if you have any comments or questions.
Thank you for your participation!
Section I: NESSF Status
 1
1
 2
2
 3
3
 4
4
 5
5
 more
than 5
more
than 5
 Yes
(go to 3)
Yes
(go to 3)
 No
(go to 5)
No
(go to 5)
 Yes
(go to Section II)
Yes
(go to Section II)
 No
(go to 4)
No
(go to 4)
 
  
 Yes
(go to 6)
Yes
(go to 6)
 No
(go to 28)
No
(go to 28)
 fellowship/scholarship
(please type name below)
fellowship/scholarship
(please type name below)
 grant
(please type name below)
grant
(please type name below)
 teaching
assistantship
teaching
assistantship
 research
assistantship
research
assistantship
 other
assistantship (please type name below)
other
assistantship (please type name below)
 internship
internship
 loans
(from any source)
loans
(from any source)
 personal
saving
personal
saving
 personal
earning during graduate school
personal
earning during graduate school
 spouse/partner
or family earnings or savings
spouse/partner
or family earnings or savings
 employer
assistance or reimbursement
employer
assistance or reimbursement
 
  
 Type
name of fellowship/scholarship, grant, assistantship, or sources not
listed above.
Type
name of fellowship/scholarship, grant, assistantship, or sources not
listed above.
 from
my academic advisor
from
my academic advisor 
 from
a mentor
from
a mentor
 from
a faculty member who was not my advisor or mentor
from
a faculty member who was not my advisor or mentor
 from
a friend or acquaintance
from
a friend or acquaintance
 from
an ad at a conference
from
an ad at a conference
 NASA
NSPIRES notification
NASA
NSPIRES notification 
 Other
(please specify):
Other
(please specify):
 
 
 
 
 
Without NESSF funding, did you pursue the research you proposed in your NESSF proposal? (skip for those who answer yes to 2)
 
Section III: Graduate Education Experience
 
 
 
 
    
 (drop
down 0 – 100)
(drop
down 0 – 100)
 
(drop down 0 – 20 for each) (drop down 0 – 20 for each)
 
(drop down 0 – 20 for each)
    
 (drop
down 0 – 100)
(drop
down 0 – 100)
 
 
 
(drop down 0 – 20 for each)
 
(drop down 0 – 20 for each) (drop down 0 – 20 for each)
 
 
 employed
(including self-employment, postdoctoral appointment, or on a paid or
unpaid leave, including vacation)
employed
(including self-employment, postdoctoral appointment, or on a paid or
unpaid leave, including vacation)
(go to 30)
 not
currently working for pay (go to 29)
not
currently working for pay (go to 29)
 
 
 
 Yes
Yes
 No
No
 
 
  
 
  
 (drop
down $30,000 or less to more than $200,001)
(drop
down $30,000 or less to more than $200,001)
 52
week
52
week
 less
than 52-week
less
than 52-week
 Please
specify the number of weeks your salary is based on if less than
52-week.
Please
specify the number of weeks your salary is based on if less than
52-week.
 
 
 Closely
related
Closely
related
 Somewhat
related
Somewhat
related
 Not
related
Not
related
 
 Yes
Yes
 Maybe
Maybe
 No
No
 Yes
Yes
 No
No
 Female
Female
 Male
Male
 Do
not wish to provide
Do
not wish to provide
 Hispanic
or Latino
Hispanic
or Latino
 Not
Hispanic or Latino
Not
Hispanic or Latino
 Do
not wish to provide
Do
not wish to provide
 
 Bachelor’s
Degree
Bachelor’s
Degree
 Master’s
degree (e.g., MA, MS, MBA, MSW, etc.)
Master’s
degree (e.g., MA, MS, MBA, MSW, etc.)
 Professional
degree (e.g., MD, DDS, JD, D.Min., Psy.D., etc.)
Professional
degree (e.g., MD, DDS, JD, D.Min., Psy.D., etc.)
 Research
doctoral degree or Ph.D.
Research
doctoral degree or Ph.D.
 Other
(please specify):
Other
(please specify):
 
 
 Yes
Yes
 No
No
 Do
not wish to provide
Do
not wish to provide
 Yes
Yes
 No
No
 Do
not wish to provide
Do
not wish to provide
first
name 
middle
name 
last
name 
 yes
yes
 no
no
 
 
 
  
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |