ACCESS SC23 Feedback Program Interest Survey
**We are looking for people who have any level of involvement with us -- those who have little or no familiarity with ACCESS should apply!**

ACCESS is looking for YOU to join us for an exciting feedback program (virtual or in-person prior to or at SC23) to help inform ACCESS Support web presence, general ACCESS programs, and specific Support track programs (e.g. MatchPlus, CCEP, Ticketing). Once your form has been received and if you are selected for the SC23 Feedback Program in return for your participation you will receive full conference registration, hotel, and flight. Completion of this form does not qualify you for immediate selection into the program.

Important Fine Print for Travel Award:  

  • All participants (students, faculty, staff, or CI professionals) need to be affiliated or work for a US-based academic institution and be 18 year of age +.

  • The member must have the legal right to work in the United States and be currently working in the United States

  • The University of Colorado Boulder will arrange all travel rather than provide reimbursement. Once an award is awarded the awardee may receive several links to documentation to complete depending on their selection of conference registration, flight, and/or hotel. Only flight, hotel, and/or registration will be covered. The awardee will need to communicate with those from CU Boulder while bookings are confirmed. All purchases are final and changes can not be accommodated except in the case of a documented emergency.

  • Travel Support award must be spent on the SC conference, do not have a cash value, and are not refundable or reimbursable to the awardee. All amounts must be used on travel booked by CU Boulder.

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Email *
Do you agree to abide by the fine print (above) and that you qualify?
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Full Name *
Preferred Email *
I consent to allow any de-identified demographic data, such as gender, ethnicity, race, institution type, title, and associated discipline to be collected and used as a component of research.  This may include presentations or publications.  This information will be collected once the completion of the project has occurred.  You may withdraw consent at any time by emailing alana.romanella@colorado.edu.  Consent is not required to participate in this project.  
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Affiliation (i.e. University, College, Institution): 
Field of Study or Employment (e.g. Math, Biology, Chemistry, University HPC Center)
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Do you identify as an underrepresented minority in your field?
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Are you familiar with ACCESS and what it provides for the community?
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Do you currently have an ACCESS allocation?
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Are you familiar with some of the programs that ACCESS Support provides? Please pick all that apply: *
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