2017 STPF Ambassadors Volunteer Form

Thank you for volunteering to serve as an outreach ambassador for the AAAS S&T Policy Fellowships (STPF) and sharing your fellowship experience with prospective candidates. Conference time commitments are flexible and can accommodate schedules and time frames that works best for you.

Please use the comment box at the end of the form to let us know of any conferences you plan to attend in 2017. This will help ensure robust STPF outreach in 2017.

Please note that STPF does not provide travel funds for current/alumni fellow participation.

Name: *This question is required.

Email address: *This question is required.

Space Cell	Attending	Speaking
Joint Statistical Meeting, Baltimore, MD (July 30-August 24)	Joint Statistical Meeting, Baltimore, MD (July 30-August 24): Attending	Joint Statistical Meeting, Baltimore, MD (July 30-August 24): Speaking
American Psychological Association, Washington, DC (August 3-6)	American Psychological Association, Washington, DC (August 3-6): Attending	American Psychological Association, Washington, DC (August 3-6): Speaking
American Chemical Society, Washington, DC (August 20-24)	American Chemical Society, Washington, DC (August 20-24): Attending	American Chemical Society, Washington, DC (August 20-24): Speaking
Biomedical & Life Sciences Career Fair, Philadelphia, PA (Fall Date TBD)	Biomedical & Life Sciences Career Fair, Philadelphia, PA (Fall Date TBD): Attending	Biomedical & Life Sciences Career Fair, Philadelphia, PA (Fall Date TBD): Speaking
American Academy of Pediatrics, Chicago, IL (September 16-19)	American Academy of Pediatrics, Chicago, IL (September 16-19): Attending	American Academy of Pediatrics, Chicago, IL (September 16-19): Speaking
National Organization for the Professional Advancement of Black Chemists and Engineers, Location TBD (Fall Date TBD)	National Organization for the Professional Advancement of Black Chemists and Engineers, Location TBD (Fall Date TBD): Attending	National Organization for the Professional Advancement of Black Chemists and Engineers, Location TBD (Fall Date TBD): Speaking
Society for the Advancement of Chicanos and Native Americans in Science, Salt Lake City, UT (October 19-21)	Society for the Advancement of Chicanos and Native Americans in Science, Salt Lake City, UT (October 19-21): Attending	Society for the Advancement of Chicanos and Native Americans in Science, Salt Lake City, UT (October 19-21): Speaking
American Society of Agronomy/Crop Science Society of America/Soil Science Society of America, Tampa, FL (October 22-25)	American Society of Agronomy/Crop Science Society of America/Soil Science Society of America, Tampa, FL (October 22-25): Attending	American Society of Agronomy/Crop Science Society of America/Soil Science Society of America, Tampa, FL (October 22-25): Speaking
American Public Health Association, Atlanta, GA (November 4-8)	American Public Health Association, Atlanta, GA (November 4-8): Attending	American Public Health Association, Atlanta, GA (November 4-8): Speaking
Society for Neuroscience, Washington, DC (November 11-15)	Society for Neuroscience, Washington, DC (November 11-15): Attending	Society for Neuroscience, Washington, DC (November 11-15): Speaking
Decision Sciences Institute, Washington, DC (November 18-21)	Decision Sciences Institute, Washington, DC (November 18-21): Attending	Decision Sciences Institute, Washington, DC (November 18-21): Speaking
American Anthropological Association, Washington, DC (November 29-December 3)	American Anthropological Association, Washington, DC (November 29-December 3): Attending	American Anthropological Association, Washington, DC (November 29-December 3): Speaking
American Geophysical Union, New Orleans, LA (December 11-15)	American Geophysical Union, New Orleans, LA (December 11-15): Attending	American Geophysical Union, New Orleans, LA (December 11-15): Speaking

Tell us which conferences you plan to attend in 2017, including universities and other institutions where you've been invited to speak about your fellowship experience. STPF can provide you with outreach materials including: info cards, brochures, talking points and/or a slide deck.

Space Cell	Conference Name:	Conference Dates:	Requested Outreach Materials:	If you will be speaking at the conference, please provide session details here.
Conference 1:	Conference 1:: Conference Name:	Conference 1:: Conference Dates:	Conference 1:: Requested Outreach Materials:	Conference 1:: If you will be speaking at the conference, please provide session details here.
Conference 2:	Conference 2:: Conference Name:	Conference 2:: Conference Dates:	Conference 2:: Requested Outreach Materials:	Conference 2:: If you will be speaking at the conference, please provide session details here.
Conference 3:	Conference 3:: Conference Name:	Conference 3:: Conference Dates:	Conference 3:: Requested Outreach Materials:	Conference 3:: If you will be speaking at the conference, please provide session details here.
Conference 4:	Conference 4:: Conference Name:	Conference 4:: Conference Dates:	Conference 4:: Requested Outreach Materials:	Conference 4:: If you will be speaking at the conference, please provide session details here.

2017 STPF Ambassadors Volunteer Form

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