Thank you for your interest in serving as a peer reviewer for the Adult Education and Family Literacy Act (AEFLA) Grant. By completing this survey, you will help the Adult Education and Family Literacy team ensure that qualified reviewers will be selected ans assigned to review teams. To be considered as a reviewer for AEFLA, you must complete this survey.

* 1. First Name

* 2. Last Name

* 3. Address

* 4. Current Employer

* 5. Cell Phone or Home Phone

* 6. Work Phone

* 7. Email Address

* 8. Geographic Representation

* 9. Geographic Region

* 10. Current Role

* 11. Subject Matter Expertise
Please indicate ALL of the areas of expertise which apply to you.

* 12. Are you currently employed by an entity intending to submit, or that has submitted, an AEFLA grant application in this competition?

* 13. Have you agreed to serve as an employee or consultant, or otherwise provide assistance or advice, on any project for which funding is being sought in an application that will be, or has been, submitted in the AEFLA grant competition, or have you been offered the opportunity to do so and not yet accepted or declined, based on whether a grant is awarded?

* 14. Will your financial interests be affected by the outcome of the AEFLA grant competition?

* 15. Did you help prepare, or do you plan on helping to prepare, one or more applications that will be submitted in the AEFLA competition, even if you do not have a financial interest in the outcome of the competition?

* 16. The AEFLA reviews require an approximate 16 hour commitment, including the time to read and score grant proposals between May 22 - June 5 and attendance at the in-person review from 8am-5pm on Wednesday, June 5, 2013.