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Responsible NASA Official:  
Linda Rodgers   
Office of Education   

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GSRP On-Line Questionnaire
Fill this report if you are a GSRP award recipient and have completed the GSRP program.


Award Recipient Information
First Name:
Last Name:
Middle Initial:
City:
State:
Zip Code:
Country:
Email Address:
Permanent
Email Address:


Program Information
Research Title:
Have you published a paper based on your thesis? Yes No
If yes:
Journal name:
Publication date:  
Faculty Advisor
First Name:
Last Name:
E-mail Address:
Phone #:   - 
Associated
NASA Center: 
(MM/DD/YYYY)                 
Date you completed your Program:   


Your Current Employment Status
 Full time Employee  Part-time Employee
 Not Currently Employed  I have a job offer
Is your employer:
 Aerospace Related*  Non-Aerospace Related
 Private Industry             NASA     Other Government
 College or University  Not Applicable
 Other,  Please Specify: 
* [If you are teaching and are in an Aerospace related department such as Astrophysics, or Engineering, etc, you would check *Aerospace Related*.]


GSRP Feedback
The GSRP award motivated/influenced my career decision? Yes No
Without the GSRP Award:
I would have been able to complete my Graduate Studies without financial difficulties
I would have been able to complete my Graduate Studies but with financial difficulties
I would have not been able to complete my Graduate Studies
Degree earned with GSRP Award: MS PhD
Major field of studies:

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