Form 428A
OMB No. 3145-0058  Exp. 10/31/2018

Thanks for your time and for indicating your willingness to serve as a reviewer. We cannot guarantee your place on an AAG panel, but we greatly appreciate your interest. Please also note that you must hold a PhD degree ﴾or equivalent﴿ to serve as a panelist.

* First Name:

* Last Name:

* Email Address:

* Institution:



You will have the option to add secondary and tertiary expertise and/or research techniques on the next screen(s).

* Please provide a brief description of your research interests.

* Are you interested in serving for 2 or 3 years as a temporary Program Director at NSF (aka “rotator”) in the foreseeable future?

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