NSF/APS-DPP GPAP Summer School

Name *

First Name

Last Name

Have you taken a formal course in plasma physics before? *

Yes

No

Are you currently a member of the American Physical Society? *

Yes

No (You must register as a member prior to attending this school. Student registration is free. See https://www.aps.org/membership/join.cfm)

Are you currently a member of GPAP, the APS Topical Group in Plasma Astrophysics? *

Yes

No (You must register as a member prior to attending this school. Student registration is free. See https://www.aps.org/membership/join.cfm)

Do you require travel assistance? *

Yes

No

Legal sex

Female

Male

Hispanic ethnicity: Do you consider yourself to be Hispanic or Latino(a)? (select only one)

No, I am not Hispanic or Latino(a)

Yes, I am Mexican American, Chicano(a)

Yes, I am Puerto Rican

Yes, I am Hispanic or Latino(a) (culture or origin including South American, Central American, Cuban, or other Spanish culture or origin)

Racial identity: Select one or more of the following racial categories to describe yourself

American Indian or Alaska Native (a person having origins in any of the original peoples of North & South America (including Central America), and who maintains a tribal affiliation or community attachment)

Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, e.g., Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Black or African American (a person having origins in any of the black racial groups of Africa)

Native Hawaiian or Other Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

White (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa)

Did you receive a Pell grant for any part of your undergraduate education?

No

Yes

Are you on active duty and/or a veteran of the United States Armed Forces?

No

Yes

Are you a dependent of an active duty and/or a veteran member of the United States Armed Forces?

No

Yes