2016 STPF Ambassadors Volunteer Form

Thank you for taking the time to inform the AAAS S&T Policy Fellowships staff of your interest in serving as an outreach ambassador for the program, and sharing your fellowship experience with prospective candidates. Conference time commitments are developed to accommodate your schedule and the length of time that works best for you.

Please use the comment box at the end of the form to let us know of any conferences not already listed, that you plan to attend in 2016. This will help ensure robust outreach engagement in 2016.

Name: *This question is required.

Are you a current or alumni fellow?

Email address: *This question is required.

Please let us know if you plan to attend any of the following conferences in the coming year:

American Public Health Association, Denver, CO (October 29-November 2)
Society of Hispanic Engineers, Long Beach, CA (November 2-6)
National Organization for the Professional Advancement of Black Chemists and Chemical Engineers , Raleigh, NC (November 8-11)
American Society of Agronomy/Crop Science Society of America/Soil Science Society of America, Phoenix, AZ (November 6-9)
Society for Neuroscience, San Diego, CA (November 12-16)
Materials Research Society, Boston, MA (November 27-December 2)
American Geophysical Union, San Francisco, CA (December 12-16)
American Physical Society, Washington, DC (January 28-31)

We are also seeking fellows to share their fellowship experience at university informational sessions. Please see list of upcoming sessions and let us know if you would be interested in participating. This list will be updated as sessions are confirmed.

University of California, Los Angeles (October 12)
Scripps Research Institute (November 11)
Sanford Burnham Prebys Medical Discovery Institute (November 17)

Please list any conferences you plan to attend in 2016, including any universities where you have been invited to speak about your fellowship experience. STPF can provide outreach resource materials including: fellowships brochures and/or a slide set about the program.

Space Cell	Conference Name:	Conference Dates:	Requested Outreach Materials:
Conference 1:	Conference 1:: Conference Name:	Conference 1:: Conference Dates:	Conference 1:: Requested Outreach Materials:
Conference 2:	Conference 2:: Conference Name:	Conference 2:: Conference Dates:	Conference 2:: Requested Outreach Materials:
Conference 3:	Conference 3:: Conference Name:	Conference 3:: Conference Dates:	Conference 3:: Requested Outreach Materials:
Conference 4:	Conference 4:: Conference Name:	Conference 4:: Conference Dates:	Conference 4:: Requested Outreach Materials:

Are you interested in participating in other Fellowship outreach initiatives (live chat sessions, speaking to visiting groups, participating on local panels, etc.)?

2016 STPF Ambassadors Volunteer Form

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