4.  Please provide links to each of the following. If you do not have one or more of the items listed below, please leave those boxes blank.

Website:

6.  Do you teach in a formal education setting? (examples: K-12, college, etc.) If yes, please provide name of institution, and the grades and subjects/courses you are currently teaching.

7. Are you actively involved in informal science education, either professionally or on a volunteer basis? (examples: planetarium, science center, professional organization, public lectures, civic or other informal science, technology, engineering, mathematics center). If yes, please provide name of the facility and a brief description of your duties.

8. Are you an amateur astronomer? If yes, please provide name of the amateur astronomy organization(s) of which you are a member (if any). You need not be a member of an official organization to apply to ACEAP.

9. Approximately how many years have you been engaged in astronomy education/public outreach activities?

10. List the face-to-face astronomy outreach activities you have conducted in the past five years that you believe have had the greatest impact.

You may list no more than 10 activities. If you have completed fewer than 10, please list all that you have completed. Include the title and location of each event, date, audience (e.g., teachers, elementary school students, general public, etc.) and the number of people that attended.

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11. List the astronomy-related articles you have had published in the past five years that you believe have had the greatest impact. These could be articles published in your local astronomy club newsletter, blogs, general and science magazines, online journals, etc.

You may list no more than 10 articles. If you have published fewer than 10, please list all that you have published.

Please provide the title of the article, date published, co-authors (if applicable), URL link (if available) and publication name.

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12. List any astronomy related multi-media products you have developed over the past five years. Products may include, but are not limited to, videos, podcasts, websites, brochures, etc. that you believe have had the greatest impact.

You may list no more than 10 products. If you have produced fewer than 10 products, please list all that you have produced.

Please provide the title of the multi-media product, date released, and web link to the product.

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13. List any astronomy related media relations activities you have conducted in the past five years that you believe have had the greatest impact. This may include writing news releases, conducting media interviews, or press conference participation.

 You may list no more than 10 activities. If you have completed fewer than 10 activities, please list all that you have completed.

Briefly explain the activity and its potential reach/impact.

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15. How will you ensure that your outreach activities will reach traditionally underrepresented populations?NOTE: Women/girls, persons with disabilities, and three racial/ethnic groups - blacks, Hispanics, and American Indians - are considered underrepresented in science and engineering by NSF because they constitute smaller percentages of science and engineering degree recipients and of employed scientists and engineers than they do of the population. Also, those who live in poverty are significantly disadvantaged, and may be considered underrepresented. (http://www.nsf.gov/statistics/wmpd/2013/pdf/nsf13304_digest.pdf) Please provide as much detail as possible, but limit your response to NO MORE than 1500 characters including spaces (Approximately 250 words).

16. What do you, either personally or professionally, hope to gain from the ACEAP experience? Please provide as much detail as possible, but limit your response to NO MORE than 900 characters including spaces (Approximately 150 words).

17. Please tell us anything additional about yourself that make you an ideal candidate for the ACEAP program. Please provide as much detail as possible, but limit your response to NO MORE than 1800 characters including spaces (Approximately 300 words).

18. Please provide the names and email addresses of three professional and/or personal references that we may contact. PLEASE note that your references may or may not be contacted.

Reference 1:

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19. Please note your response to this question is OPTIONAL. Responses will have absolutely no impact on selection of candidates for the ACEAP 2018 program. The reviewers will not see your response to this question.

This question is being asked in an effort to explore potential sustainability models, and/or expansion of the program.

It is estimated that the total cost of this type of an experience (including roundtrip travel from the US to Chile and all travel, lodging. meals within Chile, program support costs, etc.) is approximately $6500 per person. If you were offered this same experience would you pay $6,500 for it?

20. Please enter date and time of your submission and Click the NEXT button below to submit your 2024 ACEAP application.