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.
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
 Yes
 
 No,
but I plan to participate in other NASA or STEM programs next year No
 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
 Yes
No
Please describe the internship, select all that apply.
 A
federal agency Pathways
internship, please
specify
A
federal agency Pathways
internship, please
specify
 An
internship at NASA, please specify
An
internship at NASA, please specify
 Another
internship, please
describe
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
program,
please list or describe
 A
STEM program, please list or describe
A
STEM program, please list or describe
 Other
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
Emails
 
 
 
 Professor
Referrals Word
of Mouth Events
Professor
Referrals Word
of Mouth Events
Websites
 
 
 STEM
program or organization at your institution (e.g., TRIO, Upward
Bound, clubs) Conference with NASA preference
STEM
program or organization at your institution (e.g., TRIO, Upward
Bound, clubs) Conference with NASA preference
 
 None
of the above Other (please explain)
None
of the above Other (please explain)
How long have you participated in {{ Q1 }} program at your institution?
 1
- 2
semesters
 1
- 2
semesters
 3
- 4
semesters
 3
- 4
semesters
 5+
semesters
 5+
semesters
 I
have not yet attended any MUREP-funded activity events
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
MUREP-Funded Activity
community/team/cohort
 
 
 My
program
of
study
(major
community),
or
classes
if
no
major
declared
         My
program
of
study
(major
community),
or
classes
if
no
major
declared 
 My college
or university
community
                        
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
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Representatives who are part of {{ Q1 }} value my opinions.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Representatives who are part of {{ Q1 }} know I can do good work.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 Strongly
Agree Prefer not to
respond
I can really be myself in {{ Q1 }} community.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Other students who are part of {{ Q1 }} at my school like me the way I am.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 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
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 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
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 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
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 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
 Strongly
disagree
 Somewhat
disagree
Somewhat
disagree
 Agree
Agree
 
 Somewhat
agree Strongly
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
 Yes No
No
Please select your gender
 Female
 Female Male
Male
 Do
not wish to
provide
 Do
not wish to
provide
Please select your ethnicity
 Hispanic
or
Latino
 Hispanic
or
Latino
 Not
Hispanic
or
Latino
 Not
Hispanic
or
Latino
 Do not
wish to
provide
Do not
wish to
provide
Please select your race (select all that apply)
 
 
 Native
Hawaiian or Other Pacific Islander Asian
Native
Hawaiian or Other Pacific Islander Asian
 
 
 Black
or African American American Indian or Alaskan
Native White
Black
or African American American Indian or Alaskan
Native White
 
 Do
not wish to provide Other (please specify)
Do
not wish to provide Other (please specify)
Please select your grade-level
 First
Year
/
Freshmen
 First
Year
/
Freshmen
 Second
Year
/
Sophomore
 Second
Year
/
Sophomore
 Third Year
/
Junior
Third Year
/
Junior
 
 Fourth
Year
/
Senior
 Fourth
Year
/
Senior 
 Choose not
to
report
Choose not
to
report
Other (please specify)
 
  
Are you a Veteran?
 No
 No
 
  
 Yes
(please specify
which
branch)
 Yes
(please specify
which
branch)
Would you be willing to participate in a follow-up focus group related to these questions?
 No
 No
 Yes
(please provide your email below)
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 | 2024-12-30 |