Contact Form for Prospective Students

Using this Form

Use this form to tell us about yourself and your academic interests, so that we can send you information about funding and research opportunities.

Your form results will be submitted to the Institute for Broadening Participation, which works with NSF and NASA funded programs around the nation to recruit eligible students. By submitting the form below, you will allow us to share your contact information with faculty and staff in NSF and NASA programs that support students, and to help you find programs that are compatible with your interests.

You will be given an option to provide additional details about your academic interests. If you choose to do this, you can expect to spend 3-4 minutes completing this portion of the form.

Required Fields are marked with a *

**Please note: This form is for inquiring about programs only. It is not an application form.

Download this form as a PDF

Tell us About Yourself

*First Name:

Middle Name:

*Last Name:

*Email Address:

Alternate Email Address:

*Your Current Academic Status:

*Your Current Major or Research Area:
or check here if undecided

Your current institution

If your institution is not an option included above, enter it here:

*Ethnicity:
If Ethnicity Other:

Citizenship: US/Permanent Resident Non-US

Contact Form for Prospective Students

Using this Form

Tell us About Yourself

PROJECT SPOTLIGHTS!