Culturally Inclusive Planetary Engagement

Please complete all items for consideration to attend the August 2022 workshop in Houston, TX.

Space is limited to 15 planetary scientists/engineers and 15 informal educators. Application deadline is June 30th at 5:00pm Central Time. Priority will be given to early applicants and those falling under the ReaCH program's target audiences.

Question Title

* 1. Contact Information

Name

Institution

City/Town

State/Province

ZIP/Postal Code

Phone Number

Question Title

* 2. Email

Question Title

* 3. Please check which position(s) best describe you:

Planetary scientist or engineer

Planetary graduate student or postdoctoral researcher

Other NASA-funded scientist

Informal Educator / staff (after-school, library, museum, planetarium, camp, club, scouts)

NASA Science Activation team member

NASA volunteer (Solar System Ambassador, Night Sky Network member)

Youth leader/ volunteer (Boys and Girls Club, YMCA, Girl Scouts, Boy Scouts, 4H, other)

Other (please specify)

Question Title

* 4. Please describe in more detail your position(s) indicated above:

Question Title

* 5. If you are an educator, is your program or institution interested in partnering with planetary scientists?

Yes

I'm not sure

Not applicable