Longitudinal Tracking System Form

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Welcome to the HSGC Longitudinal Tracking System. The National Aeronautics and Space Administration (NASA) requires that all Space Grant Consortia gather data on the education and employment history of current and former participants in our programs. This enables us to improve our programs and assists us in seeking new funding to conduct additional programs. The information that you provide here will be sent to the Hawai‘i Space Grant office over an encrypted channel, will be kept private and not shared with anyone except NASA, our sponsor.

We will also send you an automatic confirmation message to the email address you provided below, showing the information you sent to us.

Thank you for your cooperation and time in completing this form. Your information will help to sustain funding for Hawai‘i Space Grant Consortium programs.

Email *

Updating information? *

NOTE: If you have filled out this form before and are updating your records, just fill in your name, contact information, and the relevant academic/career sections where you are adding or updating information. Please also complete the last section at the bottom of the form (NASA wants to tell your Space Grant story) before submitting your form. Mahalo.

Yes (see note above)

No, this is my first time

Full Name (First, M.I., Last) *

Date of Birth *

YYYY

Gender *

Male

Female

Street Address *

City *

State *

Zip Code *

Phone Number *

Please include area code

UH Email *

Personal email preference for future contact *

Semester(s) & Year(s) you were Awarded Funding

If possible be as specific as you can. i.e Fall2020, Spring2021

Name of campus while an HSGC participant *

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