2020 NSF ENG CAREER Workshop Application Company All applications received after January 6, 2020 will be placed on a wait-list and reviewed/invited if space becomes available. Personal Information First Name: * Last Name: * Telephone: * Email: * Address: * City: * State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: * Institution: * Position: * The collection of the following information is not on the behalf of the National Science Foundation and is voluntary for applicants to provide. The information collected will be used in selecting participants, grouping participants for mock panels, and the evaluation of the Workshop's long-term effectiveness. The data collected will be documented and provided in aggregate to NSF. Click here for more information. Demographic Information Gender: (Please select one) * Male Female Do not wish to provide Ethnicity: (Please select one) * Hispanic or Latino: a person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. Not Hispanic or Latino Do not wish to provide Race: (Please select all that apply) * American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Do not wish to provide Do you have a disability? (Please select one) * No Yes Do not wish to provide Please state your highest educational degree: * B.S. M.S. Ph.D. Post-doctoral experience (if applicable) Please select the year of degree: * 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 Please select the Carnegie Classification/Basic Classification of your Institution: (Please select one) * R1: Doctoral Universities – Very high research activity R2: Doctoral Universities – High research activity D/PU: Doctoral/Professional Universities M1/M2/M3: Master's Colleges and Universities PUI: Primarily Undergraduate Institution None of the above Is your Institution classified in one of the categories below? (Please check all that apply) * Minority Serving Institution (MSI) Tribal University Historically Black College or University (HBCU) Hispanic Serving Institution None of the above Have you participated in a previous NSF ENG CAREER Workshop? * No Yes Have you submitted a previous NSF CAREER Proposal? * No Yes How many years before you're eligible for tenure? * 1 2 3 4 More than 4 Do not wish to provide Please list funding, within the last three years, indicating your role as PI, co-PI, or Senior Personnel (400 character limit). Please list any industrial experience. (400 character limit) Describe a recent or relevant collaboration where you were the lead collaborator. (400 character limit) Would you like to participate and/or lead a networking dinner? (Optional) * No Yes Workshop organizers have a limited number of $1000 travel grants to award. If you're interested in applying for a Workshop travel grant, please indicate what you hope to gain from participating in the Workshop and what skills, interests, or expertise will you bring to the Workshop. (400 character limit)
