The objective of this survey is to solicit ideas in use-inspired research for the National Science Foundation's (NSF) Convergence Accelerator.

The objectives of the NSF Convergence Accelerator are to accelerate use-inspired convergence research in areas of national importance and to initiate convergence team-building capacity around exploratory, potentially high-risk proposals addressing societal needs. 

Topics that have already been the subject of tracks in the Convergence Accelerator program are likely to be of lower priority.

NOTE: We suggest that you first formulate your responses in a separate word processor and then copy them into this survey. This will prevent potential data loss and issues with internet connectivity interfering with the submission process. 

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* Name [Point of contact]

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* E-mail:

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* Institutional Affiliation:

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* Concept Title:
[max 150 characters]

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* What is the high impact societal need that is being targeted?
[max 750 characters]

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* Why is a convergent, interdisciplinary approach necessary to address this need?
     What disciplines will engage in addressing this need?
[max 500 characters]

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* Who are the major stakeholders that need to be engaged to address the societal need?
     Please describe how various types of stakeholders (academic, private industry, government, non-profit, etc.) would partner to address the need.
[max 500 characters]

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* What specific deliverables do you anticipate will be achieved within a two-year effort by a cohort of 5-7 teams working to address this need? What will be the expected impact after five years?
[max 500 characters]

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* Please indicate which NSF directorates may be interested in the Convergence Accelerator track that you are proposing. Select all that apply. 

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