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Dame
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Imam
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Rebbetzin
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Regent
Reverend
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Seaman
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Shaykh
Sir
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Specialist 1
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Salutation
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Brother
Cantor
Captain
Chancellor
Chief Executive
Chief Master Sergeant
Chief Petty Officer
Chief Rabbi
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
CLLR
Colonel
Command Chief Master Sergeant
Command Sergeant Major
Commander
Corporal
Dame
Dean
Director
Elder
Ensign
Esq.
Excellency
Father
First Lieutenant
First Sergeant
Fleet/Command Master Chief Petty Officer (CPO)
General
Grand Rabbi
Gunnery Sergeant
Her/His Eminence
Her/His Holiness
The Honorable
Hon.
Imam
Lady
Lance Corporal
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lord
Major
Major General
Master Chief Petty Officer
Master Gunnery Sergeant
Master Sergeant
Most Hon.
Pastor
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
President
Principal
Private
Private First Class
Provost
Rabbi
Rear Admiral Lower Half
Rear Admiral Upper Half
Rebbetzin
Rector
Regent
Reverend
Rt. Hon.
Seaman
Seaman Apprentice
Seaman Recruit
Seaman Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Shaykh
Sir
Sister
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Sr. Apprentice
Staff Sergeant
Technical Sergeant
Vice Admiral
Vice-Chancellor
Warden
Warrant Officer 1
First Name
Last Name
Business Phone
Courtesy Copied Email
Citizen Status
United States Citizen
US Lawful Permanent Resident
Non-United States Citizen
Country of Origin
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
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India
Indonesia
Iran
Iraq
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Japan
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Kenya
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
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Luxembourg
Madagascar
Malawi
Malaysia
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Mali
Malta
Marshall Islands
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Mexico
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Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
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Saudi Arabia
Senegal
Serbia
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Slovenia
Solomon Islands
Somalia
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South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
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Vanuatu
Venezuela
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Zambia
Zimbabwe
Dual Citizenship
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Salutation
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Brother
Cantor
Captain
Chancellor
Chief Executive
Chief Master Sergeant
Chief Petty Officer
Chief Rabbi
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
CLLR
Colonel
Command Chief Master Sergeant
Command Sergeant Major
Commander
Corporal
Dame
Dean
Director
Elder
Ensign
Esq.
Excellency
Father
First Lieutenant
First Sergeant
Fleet/Command Master Chief Petty Officer (CPO)
General
Grand Rabbi
Gunnery Sergeant
Her/His Eminence
Her/His Holiness
The Honorable
Hon.
Imam
Lady
Lance Corporal
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lord
Major
Major General
Master Chief Petty Officer
Master Gunnery Sergeant
Master Sergeant
Most Hon.
Pastor
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
President
Principal
Private
Private First Class
Provost
Rabbi
Rear Admiral Lower Half
Rear Admiral Upper Half
Rebbetzin
Rector
Regent
Reverend
Rt. Hon.
Seaman
Seaman Apprentice
Seaman Recruit
Seaman Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Shaykh
Sir
Sister
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Sr. Apprentice
Staff Sergeant
Technical Sergeant
Vice Admiral
Vice-Chancellor
Warden
Warrant Officer 1
Title
Company
Birthdate
State of Residence
N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (D.C.)
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
US Virgin Islands
American Samoa
Baker Island
Federated Micronesia
Guam
Howland Island
Johnston Atoll
Jarvis Island
Kingman Reef
Midway Atoll
Marshall Islands
Northern Mariana Islands
Navassa Island
Palmyra Atoll
Puerto Rico
Palau
Wake Island
Drivers License
Green Card Holder
True
False
Green Card Number
Green Card Expiration Date
Passport Country of Issuance
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Passport Number
Passport Issue Date
Passport Expiration Date
Visa Number
Visa Status
Pending
Issued
ESTA Eligible
Not Applicable
Visa Expiration Date
PIV Badge Holder
True
False
Gender
Male
Female
Do not wish to provide
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Do not wish to provide
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Do not wish to provide
Disability Status
Yes
No
Do not wish to provide
Veteran Status
Yes
No
Do not wish to provide
Nominated Event RSVP Form
Select Available Event
Primary Guest First Name (uneditable)
Primary Guest Last Name (uneditable)
If any, Secondary Guest First Name (uneditable)
If any, Secondary Guest Last Name (uneditable)
Primary Guest Email
Primary Guest Phone Number
Attending Guests?
True
False
ADA Accommodations
Wheelchair Access
Access to Seating
Other
Would you Party Attend Additional Attempts?
Accept All
Likely
Unlikely
Decline All
Do you Accept the Terms and Conditions?
True
False
Non-Nominated Event RSVP Form
Select Available Event
Primary Guest First Name (uneditable)
Primary Guest Last Name (uneditable)
Primary Guest Email*
Primary Guest Phone Number
Select NASA PIV Badge Status
True
False
Select Citizenship Status
US Citizen
US Lawful Permanent Resident
Non-United States Citizen
Select ADA Accommodations
Wheelchair Access
Access to Seating
Other
If any, Additional Guest Details
First Name*
Last Name*
Select NASA PIV Badge Status*
True
False
Select Citizenship Status*
US Citizen
US Lawful Permanent Resident
Non-United States Citizen
Select ADA Accommodations
Wheelchair Access
Access to Seating
Other
Would you Party Attend Additional Attempts?
Accept All
Likely
Unlikely
Decline All
Do you Accept the Terms and Conditions?
True
False
Event Nominee Form
Select Available Event
Salutation
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Brother
Cantor
Captain
Chancellor
Chief Executive
Chief Master Sergeant
Chief Petty Officer
Chief Rabbi
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
CLLR
Colonel
Command Chief Master Sergeant
Command Sergeant Major
Commander
Corporal
Dame
Dean
Director
Elder
Ensign
Esq.
Excellency
Father
First Lieutenant
First Sergeant
Fleet/Command Master Chief Petty Officer (CPO)
General
Grand Rabbi
Gunnery Sergeant
Her/His Eminence
Her/His Holiness
The Honorable
Hon.
Imam
Lady
Lance Corporal
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lord
Major
Major General
Master Chief Petty Officer
Master Gunnery Sergeant
Master Sergeant
Most Hon.
Pastor
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
President
Principal
Private
Private First Class
Provost
Rabbi
Rear Admiral Lower Half
Rear Admiral Upper Half
Rebbetzin
Rector
Regent
Reverend
Rt. Hon.
Seaman
Seaman Apprentice
Seaman Recruit
Seaman Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Shaykh
Sir
Sister
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Sr. Apprentice
Staff Sergeant
Technical Sergeant
Vice Admiral
Vice-Chancellor
Warden
Warrant Officer 1
First Name*
Middle Name
Last Name*
Suffix
Guest Email (uneditable)
Title*
Company*
My Company is Not Listed: Add a new Company below.
Parent Account
Account/Company Name*
Type
Description
Billing Address
Country
Street*
City*
State/Province*
Zip/Postal Code*
NASA PIV Badge Holder*
Dual Citizenship
Citizen Status*
United States Citizen
US Lawful Permanent Resident
Non-United States Citizen
State of Residence*, IF United States Citizen
N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (D.C.)
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
US Virgin Islands
American Samoa
Baker Island
Federated Micronesia
Guam
Howland Island
Johnston Atoll
Jarvis Island
Kingman Reef
Midway Atoll
Marshall Islands
Northern Mariana Islands
Navassa Island
Palmyra Atoll
Puerto Rico
Palau
Wake Island
IF Citizen Status = US Lawful Permanent Resident
Birthdate*
Country of Origin*
Gender*
Passport Number*
Passport Country of Issuance*
Passport Issue Date*
Passport Expiration Date*
Green Card Number*
Green Card Expiration Date*
IF Country of Origin and Passport Country of Issuance = A NASA Designated Country
Upload Green Card
IF Citizen Status = Non-United States Citizen
Birthdate*
Country of Origin*
Gender*
Passport Number*
Passport Country of Issuance*
Passport Issue Date*
Passport Expiration Date*
Visa Status*
Issued
Pending
Waiver Program Participant
N/A
Secondary Guest Information
Salutation
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Brother
Cantor
Captain
Chancellor
Chief Executive
Chief Master Sergeant
Chief Petty Officer
Chief Rabbi
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
CLLR
Colonel
Command Chief Master Sergeant
Command Sergeant Major
Commander
Corporal
Dame
Dean
Director
Elder
Ensign
Esq.
Excellency
Father
First Lieutenant
First Sergeant
Fleet/Command Master Chief Petty Officer (CPO)
General
Grand Rabbi
Gunnery Sergeant
Her/His Eminence
Her/His Holiness
The Honorable
Hon.
Imam
Lady
Lance Corporal
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lord
Major
Major General
Master Chief Petty Officer
Master Gunnery Sergeant
Master Sergeant
Most Hon.
Pastor
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
President
Principal
Private
Private First Class
Provost
Rabbi
Rear Admiral Lower Half
Rear Admiral Upper Half
Rebbetzin
Rector
Regent
Reverend
Rt. Hon.
Seaman
Seaman Apprentice
Seaman Recruit
Seaman Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Shaykh
Sir
Sister
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Sr. Apprentice
Staff Sergeant
Technical Sergeant
Vice Admiral
Vice-Chancellor
Warden
Warrant Officer 1
First Name*
Last Name*
Title*
Company*
My Company is Not Listed: Add a new Company below.
Parent Account
Account/Company Name*
Type
Description
Billing Address
Country
Street*
City*
State/Province*
Zip/Postal Code*
NASA PIV Badge Holder*
Dual Citizen
Citizen Status*
United States Citizen
US Lawful Permanent Resident
Non-United States Citizen
State of Residence, if US Citizen*
N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (D.C.)
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
US Virgin Islands
American Samoa
Baker Island
Federated Micronesia
Guam
Howland Island
Johnston Atoll
Jarvis Island
Kingman Reef
Midway Atoll
Marshall Islands
Northern Mariana Islands
Navassa Island
Palmyra Atoll
Puerto Rico
Palau
Wake Island
IF Citizen Status = US Lawful Permanent Resident
Birthdate*
Country of Origin*
Gender*
Passport Number*
Passport Country of Issuance*
Passport Issue Date*
Passport Expiration Date*
Green Card Number*
Green Card Expiration Date*
IF Country of Origin and Passport Country of Issuance = A NASA Designated Country
Upload Green Card
IF Citizen Status = Non-United States Citizen
Birthdate*
Country of Origin*
Gender*
Passport Number*
Passport Country of Issuance*
Passport Issue Date*
Passport Expiration Date*
Visa Status*
Issued
Pending
Waiver Program Participant
N/A
Event Nominator Form
Salutation
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Brother
Cantor
Captain
Chancellor
Chief Executive
Chief Master Sergeant
Chief Petty Officer
Chief Rabbi
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
CLLR
Colonel
Command Chief Master Sergeant
Command Sergeant Major
Commander
Corporal
Dame
Dean
Director
Elder
Ensign
Esq.
Excellency
Father
First Lieutenant
First Sergeant
Fleet/Command Master Chief Petty Officer (CPO)
General
Grand Rabbi
Gunnery Sergeant
Her/His Eminence
Her/His Holiness
The Honorable
Hon.
Imam
Lady
Lance Corporal
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lord
Major
Major General
Master Chief Petty Officer
Master Gunnery Sergeant
Master Sergeant
Most Hon.
Pastor
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
President
Principal
Private
Private First Class
Provost
Rabbi
Rear Admiral Lower Half
Rear Admiral Upper Half
Rebbetzin
Rector
Regent
Reverend
Rt. Hon.
Seaman
Seaman Apprentice
Seaman Recruit
Seaman Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Shaykh
Sir
Sister
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Sr. Apprentice
Staff Sergeant
Technical Sergeant
Vice Admiral
Vice-Chancellor
Warden
Warrant Officer 1
First Name*
Last Name*
Title*
Company*
My Company is Not Listed: Add a new Company below.
Parent Account
Account/Company Name*
Type
Description
Billing Address
Country
Street*
City*
State/Province*
Zip/Postal Code*
Citizen Status*
United States Citizen
US Lawful Permanent Resident
Non-United States Citizen
IF United States Citizen, then State of Residence*
N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (D.C.)
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
US Virgin Islands
American Samoa
Baker Island
Federated Micronesia
Guam
Howland Island
Johnston Atoll
Jarvis Island
Kingman Reef
Midway Atoll
Marshall Islands
Northern Mariana Islands
Navassa Island
Palmyra Atoll
Puerto Rico
Palau
Wake Island
Nominated Party Size
1
2
3
4
5
6
7
8
9
+More
IF + More, then additional number
Preffered Viewing Site
Drop Down Dependent on What Viewing Sites are attached to event
Are you making this nomination due to a former or current capactity?
Current
Former
Stakeholder Category
Academia (University Presidents, Administrators, Professors, Researchers)
A-List Celebrity
Astronaut
Cabinet Member/Staff
Climate Change Scientist or Environmental Organization Official
Community Leader (Chamber of Commerce, Business Council or other influential non-government community leaders)
DEIA Leader (affiliated with an African-American, Hispanic, Asian-American Pacific Islander, Native American, Women or LGBTQ institutions or organizations, and other)
Federal Government
Governor
Industry
Industry (Aerospace)
Influencer
International Partner
Labor Union or Trade Association Official (e.g., AIA, AIAA, AFGE, IFPTE, IEEE, PCS, etc.)
Museum/Science Center Official
NASA Advisory Council (Member)
NASA Contractor (WYE)
NASA Employee (FTE)
NASA Family/Friends of Workforce
National Space Council (UAG Member)
National Space Council Member/Staff
Nonpartisan Organization Officials (e.g., CSG, NAFIS, MISA, NACo, AASA, NGA, NASS, NSBA, USCM, NCSL, etc.)
State, Local or Tribal Government Representative
STEM Student
STEM Teacher
Student
Teacher
U.S. Congress Member/Staff
U.S. Military
White House Official/Staff
Group
Group 1: These stakeholders may directly impact the NASA mission through policy and budget activities
Group 2: These stakeholders may have an indirect impact on NASA mission activities
Group 3: These stakeholders may have a potential impact on NASA activities
Group 4: These stakeholders have no direct impact on NASA missions or budget but have some interest in our success or failure and provide essential information with minimal contact
Notes
For screen shots see: Appendix A for NASA Special Events PRA (8.2024)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Reiff, Scott (LARC-B713)[eMITS] |
File Modified | 0000-00-00 |
File Created | 2024-10-07 |