 
	
The purpose of this Internship Experience Survey is to understand NASA OSTEM Intern' sense of belonging and STEM identity. Findings from the survey will inform the NASA OSTEM Internship Program about the impacts that Interns experience after completing at least one NASA OSTEM Internship Program Internship.
	
This study is confidential. The benefit of completing this survey is the potential for improving future Intern experiences.
	
This survey contains five items and should take less than 10 minutes to complete. This survey includes multiple choice, Likert scale, image selection, and rating type questions. You will receive no compensation for completing this survey. Your honest responses will 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.
	
	
Sense of Belonging
	
Below is a list of statements about how people can experience a college-related activity. Sense of belonging refers to the extent to which you feel connected with and a part of a specific community.
	
think about your sense of belonging in the specific community referenced in each question, such as your university/college at large, a specific organization, program, class, or NASA OSTEM Internship. There is no “wrong” answer, please offer your honest feedback.
	
	
 
 My NASA OSTEM
	Internship community/team/cohort
	         My NASA OSTEM
	Internship 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
 Strongly
disagree
 Strongly
disagree 
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree 
 Slightly agree
Slightly agree
 Agree
Agree
 Strongly
agree
 Strongly
agree
Please note the term NASA OSTEM Internship Representative, implies any faculty, staff, consultant, mentor, supervisor, or representative that is active or a part of the NASA OSTEM Internship Program of which you participate(d) in.
Strongly
Slightly
Slightly
Strongly
disagree Disagree disagree
agree Agree
agree
	
 
	 
 
 
 
 
 
 
 
 
 
 
 
 
  
Representatives
	who are part of the NASA OSTEM Internship Program notice when I am
	good at something.
Representatives who are part of the NASA OSTEM Internship Program know I can do good work.
 
	
	
Please note the term NASA OSTEM Internship Representative, implies any faculty, staff, consultant, mentor, supervisor, or representative that is active or a part of the NASA OSTEM Internship Program of which you participate(d) in.
Strongly
Slightly
Slightly
Strongly
disagree Disagree disagree
agree Agree
agree
	
 
	 
 
 
 
 
 
 
  
During
	this internship, it is likely that I will find opportunities
	to connect and learn more from the professional representatives
	within the NASA OSTEM Internship Program.
During this internship, it is likely that I will visit the lab of
	a representative who is a member of the
	NASA OSTEM	 
	            
	
	 
	                        
	
	 
	          
	
	 
	         
	
	 
	             
	
	 Internship
	Program.
	Internship
	Program.
STEM Identity
 (12).
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.
(12).
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.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 2025-05-25 |