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AISES Gifts of Knowledge Study - Interest Form
You must have JavaScript enabled to use this form.
To submit your interest, please complete this very short (3 minute) online form.
Contact Information
Name
Email
Phone
Tribal Affiliation
Are you currently an AISES member?
Yes
No
Not sure
Are you currently enrolled at a college or university?
Are you currently enrolled at a college or university?
Yes
No
It is complicated. Please explain
Enter other…
What is the name of your college or university?
What is your current educational status?
What is your current educational status?
First year college student
Sophomore
Junior
Senior
Masters student
Doctoral student
Postdoctoral fellow
Other (Please specify):
Enter other…
Which of the following general categories represents your major field of study?
Which of the following general categories represents your major field of study?
Science
Technology
Engineering
Mathematics
Computer Science
Other (Please specify):
Enter other…
What was your most recent GPA (i.e., grade point average in high school or college)?
Was your GPA on a 4.0 or 5.0 scale?
Was your GPA on a 4.0 or 5.0 scale?
4.0 scale
5.0 scale
Other (Please specify):
Enter other…
YOUR FUTURE IN STEM
To what extent do you intend to pursue a STEM-related career?
To what extent do you intend to pursue a STEM-related career?
Definitely will not (0)
Definitely will (10)
To what extent do you plan to pursue a career as a STEM faculty member at a college or university?
To what extent do you plan to pursue a career as a STEM faculty member at a college or university?
Definitely will not (0)
Definitely will (10)
YOUR IDENTITY
What gender do you identify with?
What gender do you identify with?
Male
Female
Non-binary
Transgender Man
Transgender Woman
Other…
Enter other…
Are you Spanish/Hispanic/Latino?
No, not Spanish/Hispanic/Latino
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, other Spanish/Hispanic/Latino
Please select your ethnicity/race (select all that apply):
Please select your ethnicity/race (select all that apply):
White
Black/African American
American Indian
Alaska Native
Asian Indian
Japanese
Native Hawaiian
Chinese
Korean
Guamarian or Chumorro
Filipino
Vietnamese
Samoan
Other Asian/Other Pacific Islander/Other race (Please specify):
Enter other…
