 
Survey Description
The purpose of this Internships Retrospective Survey is to assess the impact of NASA STEM Internship experiences on participants future education and career plans in the year following the internship experience. Findings from the survey are intended to inform NASA STEM about the educational and career impacts that NASA STEM Interns experience after completion of at least one NASA STEM Internship.
	
This study is confidential. The benefit of completing this survey is the potential for improving future intern experiences. This survey contains a total of 23 questions and should take approximately 10 minutes to complete. This survey will include multiple choice, Likert scale, and free-response type questions. You will receive no compensation for completing this survey. Your honest responses will greatly shape future internship experiences for your peers who come after you.
	
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.
 
	 What
	is
	the
	highest
	level
	of
	education
	you
	have
	already
	earned?
What
	is
	the
	highest
	level
	of
	education
	you
	have
	already
	earned?
	 What
	degree level are you currently
	pursuing?
What
	degree level are you currently
	pursuing?
 
	 What
	degree
	program
	are
	you
	currently
	enrolled
	in?
What
	degree
	program
	are
	you
	currently
	enrolled
	in?
	 What
	degree
	program
	were
	you
	enrolled
	in
	prior
	to
	your
	NASA
	STEM
	Internship?
What
	degree
	program
	were
	you
	enrolled
	in
	prior
	to
	your
	NASA
	STEM
	Internship?
Choose your response to the questions below.
Significantly
Negative Negative Neutral Positive
	
	
Significantly Positive
	 
The NASA STEM
	 
 
 
 
 Internship
	program had an impact on my GPA
Internship
	program had an impact on my GPA
	
	
Did your participation in the NASA STEM Internship program lead you to pursue further education pathways through a higher degree than you originally considered?
	 
 Yes
	No
	 Yes
	No
 
Please describe how your original education plan has changed as a result of your NASA STEM Internship
 
 
How has your NASA STEM Internship experience impacted or changed your career plan?
 
What was your career plan prior to your NASA STEM Internship? (Select the career closest to your original plan)
 
Now that you have completed your NASA STEM internship and experienced another academic year, what is your current career plan? (Choose the career closest to your current plan)
 
Are you currently employed in a career that aligns to your current career plans?
 
 Yes
No
 Yes
No
 
How well does your NASA STEM Internship experience compare to your professional experiences since you completed your internship?
 Does
Not Match
At
All
 Does
Not Match
At
All
 Does Not
Match
Some
Does Not
Match
Some
 Neutral
Neutral
 Matches
Some
 Matches
Some
 Matches
Exactly
Matches
Exactly
Have you applied to and/or been accepted for an additional NASA STEM Internship after the completion of your first internship?
 Yes
 Yes No
No
Has completing a NASA STEM Internship allowed for you to receive job opportunities/offers that were not available to you previously?
 Yes
 Yes No
No
Has completing a NASA STEM Internship allowed for you to receive job professional references/networking opportunities that were not available to you previously?
 Yes
 Yes No
No
Rate your level of agreement for each statement below.
	
	
Strongly
Disagree Disagree
	
	
Neither Disagree
nor Agree Agree Strongly Agree
	
	
	 
I feel confident that I
	 
  
can
	succeed
	in
	a	 
	                             
	
	 
	                      
	
	 
	                                                                    
	                       
	
	 
	                             
	
	 STEM
	career
	
	                                                                    
	                                                                    
	            STEM
	career
I feel that I belong in
	the
	STEM	 
	                             
	
	 
	                      
	
	 
	                                                                    
	                       
	
	 
	                             
	
	 community
	community
NASA STEM Internship Experience allowed for me to grow in the following areas of:
Neither
Strongly
Disagree Disagree
Disagree nor
Agree Agree Strongly Agree
	
	
	 
	 
 
 
 
 
 
 
 
 
 
 
  
Desire
	for continued growth of STEM knowledges
Creating Spreadsheets/Graphs/Charts
	 
	 
 
 
 
 
 
  
Explaining
	my ideas clearly to others verbally
	
	
Please describe how your original career plan has changed as a result of your NASA STEM Internship.
	 
 
Rate your level of agreement to each of these statements.
	
	
Strongly
Disagree Disagree
	
	
Neither Disagree
nor Agree Agree Strongly Agree
	
	
	 
Participating in a NASA STEM
	internship
	impacted	 
	                             
	
	 
	                      
	
	 
	                                                                    
	                       
	
	 
	                             
	
	 
	 
  
my
	professional growth.
	
	
How do you view the experience with your NASA STEM Internship mentor?
	 Significantly
	Negative
	 Significantly
	Negative
	
	 Negative
	
	Negative
	 Neutral
	 Neutral Postive
	Postive
	 Significantly
	Postive
	 Significantly
	Postive
	
Which aspects of the NASA STEM Internship have had a lasting impact on you?
	 Personal
	growth
	in
	STEM
	 Personal
	growth
	in
	STEM
	
	 Real-world
	experience
	
	Real-world
	experience
	 
	 Collaboration
	
	Collaboration
	 Project-based
	learning
	 Project-based
	learning
	 Hands-on
	work in the
	field
	 Hands-on
	work in the
	field
	 Work
	in a
	fast-paced
	environment
	 Work
	in a
	fast-paced
	environment
	
	 Critical
	thinking
	
	Critical
	thinking
	 
 
  
 Creative
	opportunities Other
	(please
	specify)
	 Creative
	opportunities Other
	(please
	specify)
Please describe if/how your future plan(s) has/have changed as a result of your NASA STEM Internship.
 
Are you interested in participating in a follow-up interview?
 Yes
 Yes No
No
 
  
Please
	provide your email
	address
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |