4th ANNUAL NSF SFS NEW SCHOLAR BOOTCAMP APPLICATION Camp date: August 22-23, 2019 Camp venue: Tennessee Tech, Cookeville, TN Question Title * 1. Contact Information Name * Current Institution * Future Institution (Applicable only to community college students) State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address * Phone Number * Question Title * 2. Student status for 2019-20 academic year: Associate Degree Undergraduate Graduate Question Title * 3. School category: Community College 4 year College Question Title * 4. Are you joining the SFS program starting from Fall 2019 or Spring 2020? Fall 2019 Spring 2020 If not either, please let us know when you joined the program (e.g., Spring 2018): Question Title * 5. What is your under-representation status, if any? (Please select all that apply.) American Indian or Alaskan Native Asian or Pacific Islander Black or African American Hispanic or Latino Woman Prefer not to answer Other (please specify) Question Title * 6. How far is your school from Tennessee Tech (Cookeville, TN)? Within 500 miles. Between 500 and 1000 miles Greater than 1000 miles Alaska/Hawaii/Puerto Rico Question Title * 7. If you are accepted and granted travel award, are you confirming that you will attend the SFS boot camp held August 22-23, Cookeville, TN? Yes Other (please specify) Done