* 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.

* 2. What is your current educational status?

* 3. What college or university do you attend?

* 4. What degree are you pursuing?

* 5. 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.

* 7. What do you plan to do in the first 3 years after completing an undergraduate degree?

* 8. What are your long term career goals/aspirations?

* 9. 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?

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