NSF’s Workplace Equity for Persons with Disabilities in STEM and STEM Education Solicitation:
Prospective Reviewer and Panelist Form

Please complete this form to express interest in reviewing proposals and/or serving on a panel for the National Science Foundation (NSF) to review proposals for the agency-wide solicitation activity: Workplace Equity for Persons with Disabilities in STEM and STEM Education Solicitation (NSF 23-593). The solicitation supports fundamental, applied, and translational research that advances knowledge and practice about diverse, equitable, inclusive, and accessible STEM and STEM education workplaces and postsecondary training environments for persons with disabilities.

The information requested is pursuant to the National Science Foundation Act of 1950, as amended. Disclosure of all information is entirely voluntary. The information you provide will assist us for inviting reviewers and in creating panels to ensure a diversity of expertise and experiences. Other NSF programs requesting names of potential reviewers or specialists in particular fields may also be given information from this form. In addition to these purposes, this information will not be disclosed except as part of statistical reports or in a form that would not allow the identification of individuals.

Except for these purposes, this information will not be disclosed except as part of statistical reports or in a form that would not allow the identification of individuals. OMB No. 3145-0058

Contact Information

Question Title

* 1. Please enter your contact information:

First Name *

Last Name *

Position Title *

Institution/Organization/Company *

State (Location of Organization) *

Department, Section or Other Unit *

Your Email Address *

Your Best Contact Phone Number *

URL for professional homepage (Required)

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* 2. Upload CV or resume (Required)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 3. Your Institution/Organization/Company Type (Check all that apply)

K-12 School/District

2 Year College

4 Year College or University

Minority-Serving Institution

Science Center/Museum/Organization

For Profit Organization

Not for/Non- Profit Organization

Community-Based Organization

Professional Organization

Other (please specify)

Reviewer/Panelist Experience, Expertise, and Plans

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* 4. Have you ever completed an ad hoc review of an NSF proposal?

Yes

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* 5. Have you previously served on any NSF proposal review panel?

Yes

If Yes, for which NSF programs have you served on a proposal review panel?

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* 6. Your Primary Discipline:

Biological Sciences (except medicine and other clinical fields)

Computer and Information Sciences

Engineering

Geosciences

Mathematical Sciences

Physical Sciences (including physics, chemistry, astronomy, and materials science)

Education (Science, Mathematics, Engineering)

Social/Behavioral/Economic Sciences

Other (please specify)

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* 7. What research expertise and experience do you have that will be valuable for reviewing Workplace Equity proposals?

Demographic Information
The reporting of demographic information is optional, though this information will help NSF ensure a diversity of experience in the review process and on the panel.

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* 8. DISABILITY STATUS (check one or more)

Hearing Impairment

Mobility/Orthopedic Impairment

Visual Impairment

None

Prefer to self-identify

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* 9. GENDER

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* 10. ETHNICITY:

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* 11. RACE

Thank you for your interest in reviewing for the Workplace Equity for Persons with Disabilities in STEM and STEM Education solicitation activities. We will contact potential reviewers and panelists after the fall solicitation deadline.