[[[["field8","contains","Undergraduate Student"]],[["hide_fields","field15"]],"and"],[[["field8","contains","Staff"],["field8","contains","Faculty"],["field8","contains","Postdoctoral"]],[["hide_fields","field20,field14,field17,field16,field15,field18,field22,field23"]],"or"],[[["field8","equal_to","Graduate Student"]],[["hide_fields","field23"]],"and"]]
1
Step 1
KY NSF EPSCoR Demographic Reporting
WHY THIS INFORMATION IS BEING REQUESTED:
Collection of this information is authorized by the NSF Act of 1950, as amended, 42 U.S.C. 1861, et seq. Demographic data allows NSF to gauge whether our programs and other opportunities in science and technology are fairly reaching and benefiting everyone regardless of demographic category; to ensure that those in under-represented groups have the same knowledge of and access to programs and other research and educational oppurtunities; and to assess involvement of international investigators in work supported by NSF. The information may be disclosed to government contractors, experts, volunteers and researchers to complete assigned work; and to other government agencies in order to coordinate and assess programs. The information may be added to the Reviewer file and used to select potential candidates to serve as peer reviewers or advisory committee members. See Systems of Records, NSF-50, "Principal Investigator/Proposal File and Associated Records", 63 Federal Register 267 (January 5, 1998), and NSF-51, "Reviewer/Proposal File and Associated Records", 63 Federal Register 268 (January 5, 1998).
Last Name
no-icon
First Name
no-icon
Email
a valid email
email
Gender
Male
Female
Ethnicity
Choose one response
Hispanic or Latinx
Not Hispanic or Latinx
Race
select one or more
Native American
Alaskan Native
White
Asian
Black or African American
Hawaiian Native / Pacific Islander
Disability Status
Disabilities may include, but are not limited to: hearing impairment, visual impairment, or mobility or orthopedic impairment.
Yes, I have a disability.
No, I do not have a disability.
Institution
Select your affiliated participating research institution
Select An Option
Berea College
Centre College
Eastern Kentucky University
Kentucky State University
Morehead State University
Murray State University
Northern Kentucky University
Somerset Community & Technical College
Transylvania University
University of Kentucky
University of Louisville
Western Kentucky University
Other
Title/Role
pick one!
Select An Option
Undergraduate Student
Graduate Student
Postdoctoral Scholar
Faculty (or equivalent)
Non-technical Support Staff
Technical Support Staff
Student Information
Are you a first-generation college student?
Yes
No
Are you from an Appalachian County?
For a list of Appalachian counties, please visit this link: http://www.arc.gov/counties
Yes
No
What is your major/field of study?
no-icon
Graduate Study Year
First Year
Second Year
Third Year
Fourth Year
Fifth Year+
UG Class
Freshman
Sophomore
Junior
Senior
In total, how long do you anticipate it will take you to complete your degree?
Select An Option
3 Years
3.5 Years
4 Years
4.5 Years
5 Years
5.5 Years
6 Years
>6 Years
Anticipated Graduation Date
date_range
Please indicate years in which you've received EPSCoR Support:
Select all that apply
2019-2020
2020-2021
2021-2022
2022-2023
2023-2024
Submit Form
keyboard_arrow_left
Previous
Next
keyboard_arrow_right
FormCraft - WordPress form builder