Sign up for Information on STEM Funding and Research Opportunities

Using this Form

Use this form to add yourself to our National Student Directory! By submitting the form below, you will allow us to share your contact information with faculty and staff associated with STEM programs that support students, and to email you periodically with assistance in finding 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.

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Tell us About Yourself

*First Name:


Middle Name:


*Last Name:


*Email Address:


Alternate Email Address:


*Your Current Academic Status:
-- Please Select -- High School Freshman High School Sophomore High School Junior High School Senior Undergraduate Freshman Undergraduate Sophomore Undergraduate Junior Undergraduate Senior Post-Baccalaureate Masters Student Ph.D. Student Postdoctoral Researcher Other

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


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

*Ethnicity:
-- Please Select -- African American Asian American Caucasian Native American Indian Mexican American Pacific Islander Puerto Rican Other Hispanic Other Decline to Answer

If Ethnicity Other:

Citizenship:

US/Permanent Resident
Non-US

Have you participated recently in any conferences or STEM educational program/event(s)?