Terps in Space Fall 2019 (Mission 14 to ISS)

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Terps in Space Fall 2019 (Mission 14 to ISS) - Participant form

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ORIENTATION LOCATION: BRB1101
DATE: SEPTEMBER 16th, 2019 @ 6:00PM
There will be pizza :)
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Please fill out the info below for our Terps in Space participant records. None of this information will be shared outside of Terps in Space without your permission.

Welcome to Terps in Space Mission 14!
Compete as a team to fly your experiment to the International Space Station! You may pre-select your teammates or choose to have us pair you up with other students!

Find out more and sign up (by September 16th) at via this form or email us at terpsinspace@gmail.com
Eligibility: Freshmen - Juniors interested in STEM research (Unfortunately, seniors are not eligible - unless you plan to continue classes and study at UMD through the Fall 2020 school year)

Email addresses are collected to contact you about group placement and any other Terps in Space related activities - please make sure you use an address you check regularly.

Email *

First name *

Last name *

Gender *

Male

Female

Do not wish to respond

Other:

Ethnicity *

American Asian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

Spanish/Hispanic/Latino

White/Caucasian

Do not wish to respond

Other:

As of Fall 2019, what is your class standing? *

First year (Freshman)

Second year (Sophomore)

Third year (Junior)

Fourth year (Senior)

Fifth year

Other:

What semester and year do you anticipate graduating from college? *

Fall 2019

Spring 2020

Fall 2020

Spring 2021

Fall 2021

Spring 2022

Fall 2022

Spring 2023

Other:

What is the degree you're seeking? Be as specific as possible and include minors, if applicable *

Are you signing up as a team or solo? *

Solo - Please assign me to a team

Team - I don't have my team-mates yet but will find them on my own

Team - I already have my team-mates

If you picked "Team - I already have my team-mates", list your team-mates' names and last names below

Why are you interested in participating in this program? What is your motivation? What would you like to get out of the experience? *

How did you hear about the program? *

Flyer

Friend

Professor

Other:

For a head-count, do you plan on attended the program orientation session on September 16th, 6:00pm, BRB1101? *

Yes

Other:

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