ASA Survey for Students in Science
Exit this survey
1
. If you are interested in more information about the American Scientific Affiliation, please let us know how to get in touch with you. We are partnering with the Emerging Scholars Network to provide Christian mentors.
If you are interested in more information about the American Scientific Affiliation, please let us know how to get in touch with you. We are partnering with the Emerging Scholars Network to provide Christian mentors.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
2
. What is your current educational status?
What is your current educational status?
high school
undergraduate
graduate
Other (please specify)
3
. What college or university do you attend?
What college or university do you attend?
4
. What degree are you pursuing?
What degree are you pursuing?
natural science
math
engineering
philosophy
religion
please specify the precise area or note if it was not a choice above:
5
. What science/faith topics interest you the most?
What science/faith topics interest you the most?
6
. If you are an undergraduate, when is your expected graduation date? If you are not currently an undergrad, please skip.
If you are an undergraduate, when is your expected graduation date? If you are not currently an undergrad, please skip.
2011
2012
2013
2014
2015
other year (please specify)
7
. What do you plan to do in the first 3 years after completing an undergraduate degree?
What do you plan to do in the first 3 years after completing an undergraduate degree?
attend graduate school
teach
work in industry
get another degree
go to Disney World
none of the above! I plan to...
8
. What are your long term career goals/aspirations?
What are your long term career goals/aspirations?
9
. What is the biggest challenge you face as a Christian in academia?
What is the biggest challenge you face as a Christian in academia?
10
. Are you interested in a Christian mentor in your field of study?
Are you interested in a Christian mentor in your field of study?
yes
no
If yes, please specify what you would hope for in a mentorship relationship:
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