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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your affiliated institution or organization?

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* 4. What is your email address?

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* 5. What is your highest degree and disciplinary expertise?

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* 6. Please check any other expertise you have. (Choose all that apply and specify CISE Core Areas – AI, Security, Big Data, Networks, Cloud, Wireless, etc.)

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* 7. Do you have particular expertise in approaches to engage students from the following groups underrepresented in computing?

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* 8. Which track are you submitting to and what role will you play?

  PI Co-PI Other (consultant, senior personnel, etc.)
Thread 1: Research Capacity Building Planning Projects (RCBPP)
Thread 2: Demonstration Projects (DP)
Thread 3: Research Partnerships Enhancement Projects (RPEP)

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* 9. Have you reviewed for NSF/CISE before?

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* 10. What is your availability to serve virtually on an MSI panel? (Choose all that apply)

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* 11. What is your availability to attend a virtual MSI panel training session at 1 pm EDT on the selected day? All MSI panelists must attend a training session prior to serving on a panel. (Choose all that apply)

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* 12. Please provide a URL to your CV and/or professional webpage (optional)

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