ETAP Applicant Module

National Science Foundation Education and Training Application Pilot

ETAP Applicant Module

ETAP Applicant Module

OMB: 3145-0248

Document [pdf]
Download: pdf | pdf
Applicant module

30

ACCOUNT CREATION
Account creation
First name _______________________________________________________
Middle name _____________________________________________________
No middle name
Last name _______________________________________________________
Date of birth (mm/dd/yyyy)
_______________________________________________________________
NSF requests date of birth for the purpose of obtaining educational data from the National Student Clearinghouse
and contacting applicants in the future to participate in program evaluations or research studies.
E-mail address
_______________________________________________________________

Password
_______________________________________________________________
Confirm password
_______________________________________________________________
Password length must be between 8 and 20 characters. The password must meet the following requirements:
At least one lowercase letter
At least one capital letter
At least one number
At least one of the following special characters: #, &, %, !, @, (, )

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Eligibility Requirements
[To be adapted for other programs. REU and IRES shown as example]
REU participants must be:
•

Citizens, nationals, or permanent residents of the United States, AND

•

Undergraduate students or high school graduates who have been accepted at an undergraduate
institution but who have not yet started their undergraduate study, OR

•

K–12 teachers of science, technology, engineering, and mathematics.

IRES participants must be:
•

Citizens, nationals, or permanent residents of the United States, AND

•

Undergraduate or graduate students, OR

•

K–12 teachers of science, technology, engineering, and mathematics.

By applying through this system, you hereby certify that you meet all eligibility requirements for the
program you are applying to.


I acknowledge the eligibility requirements.

Rules of Behavior
This computer system is the property of the National Science Foundation (NSF) of the Federal Government. Any
system activity may be monitored and any information stored within the system may be retrieved and used by
authorized personnel for law enforcement, management, routine system operations, or other purposes. By using
this computer system, you are consenting to such monitoring and information retrieval and use.
Unauthorized use of the system, including disclosure of information covered by the Privacy Act or other sensitive
information, or attempts to defeat or circumvent security features, is prohibited and could result in disciplinary
action, civil and/or criminal penalties. Users should be aware that they have no expectation of privacy when using
the NSF-provided computer system (including any removable media used in conjunction with the system),
accessing the Internet, or using electronic mail systems.
All information maintained within or retrievable through the NSF computer system, including electronic mail files,
may be reviewed and retrieved by the Department of Homeland Security; NSF officials who have a legitimate
reason to do so when authorized by the Director or Deputy Director; or by the Inspector General.


I acknowledge the rules of behavior

32

Notice
An agency may not conduct or sponsor, and a person is not required to respond to, an information collection
unless it displays a valid Office of Management and Budget (OMB) control number. The OMB control number for
this collection is 3145-0248. Public reporting burden for this collection of information is estimated to average 3.25
hours for applicants to register and 7 hours to register and submit an application, including the time for reviewing
instructions. Burden estimates for principal investigators is 4.7 hours to register and record admissions decisions
and program attendance. Send comments regarding the burden estimate and any other aspect of this collection of
information, including suggestions for reducing this burden, to:
Suzanne Plimpton
Reports Clearance Officer
Budget and Finance Administration
National Science Foundation
Alexandria, VA 22314
Please note that information provided through this system will be used for admissions decisions, audits, and
research and evaluation purposes. All applicants’ information will be maintained in accordance with the
requirements of the Privacy Act of 1974. No personal information will be released to the public.

REGISTRATION
PROFILE
Personal Information
(Pre-filled with information from account creation, where applicable)
First name ______________________________________________________
Middle name _____________________________________________________
No middle name
Last name ______________________________________________________
Preferred name ___________________________________________________
Preferred pronouns
[drop down:
No selection
He/him/his
She/her/hers
They/them/their
Ze/hir/hirs
Ze/zir/zirs ]

Suffix
_______________________________________________________________

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Previous last name
_______________________________________________________________

Date of birth (mm/dd/yyyy)
_______________________________________________________________

Contact Information
Primary email address
_______________________________________________________________
Alternate email address
_______________________________________________________________
Please provide another email address. At least one should be a personal address, not associated with school or
work, that you are likely to retain in the future.
Cell phone number
_______________________________________________________________
Please provide a current mobile phone number where you can be reached in case we need to contact you regarding
your application.
Okay to send texts to this number (message and data rates may apply)

Current Mailing Address
Country _______________________________________________________________________________
Street address 1 ________________________________________________________________________
Street address 2 ________________________________________________________________________
City __________________________________________________________________________________
State _________________________________________________________________________________
Zip code ______________________________________________________________________________

Permanent Mailing Address
□ Same as mailing address
Country_______________________________________________________________________________
Street address 1 ________________________________________________________________________
Street address 2 ________________________________________________________________________
City __________________________________________________________________________________
State _________________________________________________________________________________
Zip code ______________________________________________________________________________
Email Address __________________________________________________________________________
Please enter the email address of a resident of this address.
Permanent phone number ________________________________________________________________

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Other Contact Information
Please provide links to any of the following social media you have. We will only use your social media to follow up
with you in the future.
Facebook _____________________________________________________________________________
LinkedIn ____________________________________________________________________________
Twitter ______________________________________________________________________________

Data Sharing Preferences
□ Check the box if you would like to be considered for admission at similar NSF-funded opportunities for which you
have not applied. You can change your preference at any time.

Current status
What best describes your current status?










High school student
Undergraduate student
Graduate student
Postdoctoral fellow
Teacher, pre-service (studying to become a teacher)
Teacher, K-12 (precollege)
Teacher/professor, 2-year college (postsecondary)
Teacher/professor, 4-year college (postsecondary)
Other (specify)

DEMOGRAPHIC INFORMATION
Demographic Information

Race

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Select one or more







American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
I do not wish to provide this information

Ethnicity
Please select one of the following




Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information

Sex and Gender
Sex you were assigned at birth on your original birth certificate
Please select one of the following




Male
Female
I do not wish to provide this information

Gender you identify with
Please select one of the following





Male
Female
Other, specify ____________
I do not wish to provide this information

Veteran Status
A veteran is a person who served in the active military, naval, or air service and who was discharged or released
under conditions other than dishonorable (Title 38 of the Code of Federal Regulations)
Please select one of the following




Veteran
Not veteran
I do not wish to provide this information

What is the usual degree of difficulty you have with...
This question is designed to help us better understand the career paths of individuals with specific functional
limitations.

a.

SEEING words or letters in ordinary
newsprint (with glasses/contact
lenses, if you usually wear them)?

None

Slight

Moderate

Severe

Unable
to do











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None

Slight

Moderate

Severe

Unable
to do

b.

HEARING what is normally said in
conversation with another person (with
hearing aid, if you usually wear one)?











c.

WALKING or using stairs without
human or mechanical assistance?











d.

LIFTING or carrying something as
heavy as 10 pounds, such as a bag of
groceries?











e.

CONCENTRATING, REMEMBERING,
or MAKING DECISIONS because of a
physical, mental, or emotional
condition?











□ I do not wish to provide this information

FAMILY INFORMATION
Parent or Guardian 1

Please select one of the following
 Male parent or guardian
 Female parent or guardian
 Not applicable

What is the highest level of education completed by this parent or guardian?
[Dropdown:
Less than high school completed
High school diploma or equivalent
Some college, vocational, or trade school (including 2-year degrees)
Bachelor’s degree (e.g., BS, BA, AB)
Master’s degree (e.g., MS, MA, MBA)
Professional degree (e.g., JD, LLB, MD, DDS, DVM)
Doctorate (e.g., PhD, DSc, EdD)
I do not know
I do not wish to provide this information]
Which of the following best describes this parent’s or guardian’s occupation?
[Dropdown:
Biological/Life Scientists
Clerical/Administrative Support Occupations
Clergy/Other Religious Workers
Computer Occupations
Consultants
Counselors
Engineers/Architects
Engineering Technologists/Technicians/Surveyors
Farmers/Foresters/Fisherman
Health Occupations
Lawyers/Judges
Librarians/Archivists/Curators
Managers and Supervisors, First-Line
Managers, Top-level Executives/Administrators
Managers, Other

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Management-Related Occupations
Mathematical Scientists
Physical Scientists
Research Associates/Assistants
Sales/Marketing Occupations
Service Occupations, Except Health
Social Scientists
Social Workers
Teachers – Precollege
Teachers/Professors – Postsecondary
Teachers – Other
Writers/Editors/Public Relations Specialists/Artists/Entertainers/Broadcasters
Other
I do not know
I do not wish to provide this information]

Parent or Guardian 2

Please select one of the following
 Male parent or guardian
 Female parent or guardian
 Not applicable
What is the highest level of education completed by this parent or guardian?
[Dropdown]
Which of the following best describes this parent’s or guardian’s occupation?
[Dropdown]

EDUCATION
High school

If you attended more than one high school, indicate the most recent high school.
Find school (lookup)
□ Homeschooled
□ I don’t see my school in the list
(if clicked “I don’t see my school in the list)
Name
City
zipcode
State
Country

Postsecondary Degrees

List all prior postsecondary degrees you have obtained.
College or university name
[IPEDS lookup list] ________________________________________________
Degree type
[NCSES drop-down menu]
Degree completion date
[mm/yyyy]
Primary field of study
[NCSES drop-down menu]
If you cannot find your primary field of study or you selected Primary, Other (for example, Chemistry, Other), please
enter a description below.
Other field, specify

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Test Scores

Please indicate all test scores you would like to report. Graduate students are encouraged to provide at a minimum
GRE scores, if available. If you did not take one or more of these tests, leave the field(s) blank.

SAT
Combined score: _________________________________________________
Reading and Writing: ______________________________________________
Math: __________________________________________________________
Essay: _________________________________________________________
□ SAT before March 2016
Check the box if you took the SAT before March 2016 and enter your reading score under “Reading and Writing” and
enter your writing score under “Essay.”
ACT
Combined score: _________________________________________________
GRE General Test scores
Verbal Reasoning: ________________________________________________
Quantitative Reasoning: ____________________________________________
Analytical Writing: _________________________________________________

CURRENT ENROLLMENT
Current Enrollment Information
College or University
The institution at which you are currently enrolled for most of your courses.
Name
[IPEDS lookup list] ________________________________________________



I cannot find my institution on the list
I am not currently enrolled at a college or university

Enrollment Status at This College/University
Please select one of the following




Full-time
Part-time
I am not currently enrolled

Degree Program at This College/University
Please select one of the following



No specific degree
Associate's degree (e.g., AA, AS)

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






Bachelor's degree (e.g., BS, BA, AB)
Master’s degree (e.g., MS, MA, MBA)
Doctorate (e.g., PhD, DSc, EdD)
Other professional degree (e.g., JD, LLB, MD, DDS, DVM)
I am not currently enrolled
Other degree, specify ________________________________________________

Fields of Study at this College/University
Major or primary field of study
Please select one of the following
(Please select)
And then select one of the following
(Please select)
Second Major (if applicable)
Please select one of the following
(Please select)
And then select one of the following
(Please select)
Minor (if applicable)
Please select one of the following
(Please select)
And then select one of the following
(Please select)

[If degree is associate’s] Expected Date of Associate’s Degree Completion
Completion date (mm/dd/yyyy)
_______________________________________________________________
□ I do not intend to complete an associate’s degree

[If degree is bachelor’s] Expected Date of Bachelor’s Degree Completion
If you are enrolled in a 4-year institution, or you are enrolled in community college and plan to transfer to a 4-year
institution, please enter the date that you expect to graduate from the 4-year institution with a bachelor's degree.
Completion date (mm/dd/yyyy)
_______________________________________________________________
□ I do not intend to complete a bachelor’s degree

[If degree is master’s or doctorate or other professional or other] Expected Date of Degree Completion
Completion date (mm/dd/yyyy)
_______________________________________________________________
□ I do not intend to complete this degree

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[If degree is associate’s or bachelor’s] Expected Class Standing at the Beginning of the Fall [year]
Term
Please select one of the following








Incoming freshman (high school applicant)
Freshman
Sophomore
Junior
Senior
4th year of a 5-year program
Other, please explain:

[If degree is master’s or doctorate or other professional] Expected Class Standing at the Beginning of
the Fall [year] Term





First year
Second year
Third year or later
Other, please explain:

[If degree is doctorate] I am/have
Select all that apply






Taking coursework
Completed all coursework
Passed my qualifying exam
Defended my dissertation proposal
Completed my dissertation

How are you financing your degree(s)?

When answering this question, please consider the financing for the cost of tuition, room and board, fees, books and
supplies. Mark one response per row.



Not applicable: I am not enrolled in a college or university
I do not wish to provide this information

Financial assistance from parents, spouse, other relatives, not to be repaid
Financial assistance from your employer
Financial assistance from the Veterans Educational Assistance Act (i.e., the G.I. Bill)
Loans from parents or other relatives, to be repaid
Loans from the school you attended, banks, federal or state government
Tuition waivers, fellowships, grants, scholarships
Assistantships or work study
Earnings from employment
Personal savings
Other (Specify) _______ (text field)

YES











NO











Credits
Total number of credits you expect to have completed by the beginning of fall [Year]
_______________________________________________________________
Total number of credits required to graduate
_______________________________________________________________
□ Not applicable

41

College GPA
What is your current overall college GPA?

_______________________________________________________________
□ Not applicable: I am not enrolled in an undergraduate program or my school uses a non-numeric evaluation
system.

What is your college’s GPA scale?




4.0
5.0
Other, please specify

EXPERIENCE
Prior Research Experience
Have you participated in a research experience before?
 Yes
 No
 I do not know
[If yes, ask additional questions regarding experiences]
Were any of these prior research experiences funded by NSF?




Yes
No
I do not know

If yes, please indicate the NSF program(s) in which you participated.
Select all that apply.







Research Experiences for Undergraduates (REU)
International Research Experiences Students (IRES)
Graduate Research Fellowship Program (GRFP)
Louis Stokes Alliance for Minority Participation (LSAMP)
Research Experiences Teachers (RET)
Other, specify

Were any of these prior research experiences outside of the United States?



Yes
No

List all your prior research experiences. Indicate Site or project name, institution, location, year of participation, and
topic.
_______________________________________________________________
Characters remaining: 5000

Work Experience

Complete this section only if you are working as a teacher/professor.
School or college you are currently employed
Find K-12 school: lookup

42

Find college or university: lookup
□ I don’t see my school in the list
(if clicked “I don’t see my school in the list)
School Name
District name
City
State
Teaching level
Select all that apply
□ elementary
□ middle school
□ high school
□ postsecondary
Grade(s) teaching: _____
Subject(s) teaching: _____
Will you be continuing to teach at this institution in the coming year?
 Yes
 No
 I don’t know
Years of teaching experience: ___
Teaching certifications
Subject(s) certified to teach (in your state) _____

PROGRAM AWARNESS
How did you hear about the NSF program(s) you are applying to?
Select all that apply









Professor
Family or friend
Career fair
College or university website
This website or other NSF website
A Site or project-specific website
Other, specify
I do not wish to provide this information

43

OPPORTUNITY SELECTION
Selection

Opportunities accepting applications through this system are listed below. If you want to apply to an opportunity that
is not listed here, you will need to apply directly to that opportunity, following its application procedures.
To identify and select an opportunity:
Use the listing filters to help find a desired opportunity.
Click on the arrow to the left of the opportunity to expand its listing.
In the expanded listing view, click "Save."
Your selected opportunity will appear in the Saved tab. To remove a selected opportunity, click "Remove” in the
expanded listing view.
Applications must be submitted before midnight Eastern Time on the last day of the application period for the
opportunity.
[Select opportunity]

APPLICATION MATERIALS
Application Materials
Personal Statement
Please describe your academic and career goals and how this opportunity will help you achieve these goals.
_______________________________________________________________
Characters remaining: 5000

Supporting Documents

Please upload a transcript and a curriculum vitae (CV) or resume as PDF files.
Uploaded files must be less than 5MB. If your file is larger than 5MB, please compress it to meet the file size
requirements. Please be sure your file does not use password protection or other security features.

Transcript

Please upload an official or unofficial transcript for the institution where you are currently enrolled. If you recently
enrolled and do not yet have a transcript, please upload a class schedule or enrollment verification form.
_______________________________________________________________

CV or Resume

Please be sure your file does not use password protection or other security features.
_______________________________________________________________

Additional Questions

Some opportunities to which you are applying request additional information.
Opportunity 1
a. Additional Materials (Link to PDF provided by PI)
b. Additional Questions (Displays questions added by PI)
________________________________________________________
Opportunity 2
a. Additional Materials (Link to PDF provided by PI)
b. Additional Questions (Displays questions added by PI)
________________________________________________________
Opportunity 3
a. Additional Materials (Link to PDF provided by PI)
b. Additional Questions (Displays questions added by PI)
________________________________________________________

(…)
44

LETTERS OF REFERENCE
References
To submit your application, you must provide complete contact information individuals who will provide letters of
reference. Your letters of reference are due by the last day of your selected opportunities’ application period.
To request a letter of reference:
1.

Enter contact information below for two individuals who will provide letters of reference for you. Click the
“Save” button once you have completed all fields for an individual.

2.

Click the “Send Email” button. The system will send an email to your referee requesting that they fill out
short reference form online. We strongly encourage you to alert the individuals that they will receive an email
from noreply@[website domain] asking them to fill out a reference form and provide the deadline.

To send a referee a reminder email: You may send each individual referee a reminder email by clicking the “Send
Email” button. The system will disable the button if a referee has been emailed within the previous 24 hours.
To select a new referee after sending an initial invitation:
1.

If a reference form has not been submitted, you may select a new referee. To do so, click the “Delete
Reference” button. When you delete a referee, their online reference form will be disabled and they will
receive an email notifying them you have withdrawn your request for a letter of reference.

2.

Repeat the steps outlined in “To request a letter of reference.”

Reference 1
First name ______________________________________________________
Last name ______________________________________________________
Position ________________________________________________________
Institution _______________________________________________________
Phone __________________________________________________________
Email __________________________________________________________
Reference 2
First name ______________________________________________________
Last name ______________________________________________________
Position ________________________________________________________
Institution _______________________________________________________
Phone __________________________________________________________
Email __________________________________________________________

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CERTIFY & SUBMIT PAGE
Certify & Submit

Please review your information before submitting it. You will not be able to make changes to your information,
including your personal statement and transcripts after you submit your application to at least one Site/project.
By clicking on the SUBMIT button below, I am certifying that the information provided is try and complete to the best
of my knowledge. I understand that I am consenting to the confidential use of the information I provided for
admissions decisions, audits, and research and evaluation purposes. All applicants will be afforded an equal
opportunity for consideration.

46


File Typeapplication/pdf
File TitleSUMMARY
Authorbowman-marietta
File Modified2021-07-06
File Created2021-07-06

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