Your responses to these questions will help the NSF Faculty Workshop team plan the most productive meeting for all partipcants. This survey should take no longer than 5 minutes. Thank you for your participation, and we look forward to meeting you on September 28!

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* 1. Your Name:

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* 2. Are you interested in attending a regional National Science Foundation workshop at Northwest Florida State College to identify proposals that you could submit either as an individual or collaboratively with other faculty members? (Transportation will be provided by your institution.)

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* 3. Can you attend a workshop on Friday, September 28, 2012?

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* 4. At which college/university do you work?

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* 5. In which disciplines is/are your primary teaching responsibility?

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* 6. Please select any NSF grants for which you have applied in the past.

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* 7. When did you apply for the above grant(s)? Please provide approximate dates.

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* 8. If you have applied for a grant from a funding source other than NSF, please explain below.

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* 9. If you have a project in mind, please outline it here. Your reply will help workshop organizers to place you with the most appropriate faculty group.

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