 
	
As a participant (i.e., student) in a NASA MUREP-Funded Activity, you have been selected to take part in a brief questionnaire about your experiences. If you wish to participate in this survey, please select next page to continue. Thank you for your time and perspective.
	
	
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.
	
	
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.
	 
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	survey
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	survey
 
Please select the MUREP-Funded Activity you participate in from the list below.
 MUREP
Institutional Research Opportunity
(MIRO)
 MUREP
Institutional Research Opportunity
(MIRO)
 MUREP
Aerospace High Volume
Manufacturing and
Supply Chain Management
(High
Volume)
 MUREP
Aerospace High Volume
Manufacturing and
Supply Chain Management
(High
Volume)
 MUREP-SMD
Research Ocean Biology and Biogeochemistry (OCEAN)
MUREP-SMD
Research Ocean Biology and Biogeochemistry (OCEAN)
 MUREP
Innovations in Space Technology
Curriculum
(MISTC)
 MUREP
Innovations in Space Technology
Curriculum
(MISTC) 
 NASA
Community College Aerospace Scholars
(NCAS)
NASA
Community College Aerospace Scholars
(NCAS)
 MUREP
for American Indian and Alaska Native Science, Technology,
Engineering, and
Math (STEM) Engagement
(MAIANSE)
 MUREP
for American Indian and Alaska Native Science, Technology,
Engineering, and
Math (STEM) Engagement
(MAIANSE)
 
 MUREP
Innovation Tech
Transfer Idea
Competition (MITTIC) MUREP
INCLUDES
 MUREP
Innovation Tech
Transfer Idea
Competition (MITTIC) MUREP
INCLUDES
 
 
  
Please
	provide your
	institution.
Please select your institution type.
 Asian
American
Native
American
Pacific
Islander-Serving
Institutions
(AANAPISI)
 Asian
American
Native
American
Pacific
Islander-Serving
Institutions
(AANAPISI)
 Native
Hawaiian-Serving Institutions
(ANNH)
Native
Hawaiian-Serving Institutions
(ANNH)
 Historically
Black Colleges &
Universities
(HBCU)
 Historically
Black Colleges &
Universities
(HBCU)
 Hispanic
Serving Institutions
(HSI)
Hispanic
Serving Institutions
(HSI)
 Minority
Serving
Institutions
(MSI)
 Minority
Serving
Institutions
(MSI)
 Native
American-Serving
Non-Tribal
Institutions
(NASNTI)
 Native
American-Serving
Non-Tribal
Institutions
(NASNTI)
 Predominantly
Black Institutions
(PBI)
Predominantly
Black Institutions
(PBI)
 
 Private
(Pri)
 Private
(Pri)
 Public
(Pub)
Public
(Pub)
Tribal Colleges and Universities (TCU)
 
Please briefly describe how you engage with NASA's MUREP-funded activity that you selected at your institution.
 
How long have you participated in the NASA's MUREP-funded activity at your institution?
 1
- 2
semesters
 1
- 2
semesters
 3
- 4
semesters
 3
- 4
semesters
 5+
semesters
5+
semesters
 
Please select from the list below how you found out about NASA's MUREP-funded activity at your institution. Select all that apply.
 
 
 
 
 Emails
Referrals Events
Websites
Emails
Referrals Events
Websites
Other (please specify)
 
  
 
Please rate your agreement with the following statements based on how you feel about your involvement in NASA's MUREP-funded activity at your school.
Faculty and staff members who are part of NASA's MUREP-funded activity notice when I am good at something.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Faculty and staff members who are part of NASA's MUREP-funded activity value my opinions
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Faculty and staff members who are part of NASA's MUREP-funded activity know I can do good work.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 Strongly
Agree Prefer not to
respond
I can really be myself in NASA's MUREP-funded Activity community.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Other students who are part of NASA's MUREP-funded activity at my school like me the way I am.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 Strongly
Agree Prefer not to
respond
 
Read research papers from a faculty member who is a member of NASA's MUREP-funded activity at my school.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Attend a seminar hosted by NASA's MUREP-funded activity at my school.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 Strongly
Agree
 Strongly
Agree
 Prefer
not to
respond
 Prefer
not to
respond
Visit the lab of a faculty who is a member of NASA's MUREP-funded activity at my school.
 Strongly
Disagree
 Strongly
Disagree
 Disagree
Disagree
 Slightly
disagree
 Slightly
disagree
 Slightly
agree
Slightly
agree
 Agree
Agree
 
 Strongly
Agree Prefer not to
respond
 Strongly
Agree Prefer not to
respond
 
Please rank order the levels at which you have the highest sense of belonging in the STEM field:
 
 
 
 My
NASA MUREP-Funded
Activity
community
         My
NASA MUREP-Funded
Activity
community
 My program
of study (major)
community
          
My program
of study (major)
community
 My
college or university
community
                     My
college or university
community
 
 
	 
  
STEM
	professionals
	are
	individuals
	whose
	professional
	activities
	relate
	to
	the
	STEM
	fields
	(Science, Technology,
	Engineering, or
	Mathematics). Select number that best describes the current overlap
	of the image you have of yourself and your image of what a STEM
	professional
	is.
Because of my participation in NASA's MUREP-funded activity at my school, I am more likely to continue along a STEM pathway.
 Strongly
disagree
 Strongly
disagree
 Somewhat
disagree
Somewhat
disagree
 Agree
Agree
 
 Somewhat
agree Strongly
agree
 Somewhat
agree Strongly
agree
 
 
  
Getting
	the grades, I
	want
 
  
Taking
	good class
	notes
 
  
Studying
	to perform well on
	tests
 
  
Getting
	papers done on
	time
 
  
Preparing
	for
	exams
 
  
Researching
	term
	papers
 
  
Doing
	well in my toughest
	class
	 
  
Talking
	to my
	professors
 
  
Getting
	help and information at
	school
 
  
Talking
	to college
	staff
 
  
Participating
	in class
	discussions
 
  
Asking
	questions in
	class
 
Please select your gender
 Female
 Female Male
Male
 Choose
not to
report
 Choose
not to
report
Please select your race
 American
Indian or
Alaska
Native
 American
Indian or
Alaska
Native
 Asian
Asian
 Black
or African
American
 Black
or African
American
 Native
Hawaiian or Other
Pacific
Islander
 Native
Hawaiian or Other
Pacific
Islander
 White
White
 
 Choose
not
to
report
 Choose
not
to
report
 Other
(please specify)
Other
(please specify)
Are you of Hispanic, Latino, or Spanish origin?
 No,
not of Hispanic, Latino, or
Spanish
origin
 No,
not of Hispanic, Latino, or
Spanish
origin
 Yes,
Mexican, Mexican
American,
Chicano
Yes,
Mexican, Mexican
American,
Chicano
 
 Yes,
Puerto
Rican
Yes,
Puerto
Rican
 Yes,
Cuban
 Yes,
Cuban
 
 Yes,
another Hispanic,
Latino, or
Spanish
origin
 Yes,
another Hispanic,
Latino, or
Spanish
origin
 Choose not
to
report
Choose not
to
report
Other (please specify)
 
  
Please select your grade-level
 Freshmen
 Freshmen
 Sophomore
Sophomore Junior
Junior
 Senior
 Senior
 Graduate
student
 Graduate
student
 Choose not
to
report
Choose not
to
report
 
  
 Other
(please
specify)
 Other
(please
specify)
Have you ever served on active duty in the United States Armed Forces, either in the regular military or in National Guard or military reserve unit?
 Yes
 Yes No
No
 Choose
not to
report
 Choose
not to
report
Have you declared a STEM (Science, Technology, Engineering, Mathematics) major? If yes, please provide your major.
 
On a scale 0 to 10, how likely are you to recommend NASA's MUREP-funded activity at your school to your peers?
 
Would you be willing to participate in a follow-up focus group related to these questions? If Yes, please provide your email below.
 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 2024-12-04 |