NCAS-M Alumni Form NCAS-M Alumni Form "*" indicates required fields Step 1 of 6 16% Date Submitted* MM slash DD slash YYYY Background InformationPlease complete the NCAS-M Alumni Form to update NCAS-M and NOAA on your activity following engagement with NCAS-M.Name* First Last Personal Email*Please enter an email that is not associated with an institution of higher education. Phone*What is the best way to contact you?* Phone Personal Email University/ies Attended (as an NCAS/NCAS-M Fellow)*To select multiple items in a list, hold down the Ctrl (PC) or Command (Mac) key. Then click on your desired selections.Fort Valley State UniversityHoward UniversityJackson State UniversityPennsylvania State UniversitySan Diego State UniversitySan Jose State UniversityTuskegee UniversityUniversidad MetropolitanaUniversity of Albany State University of NYUniversity of Maryland Baltimore CountyUniversity of Maryland College ParkUniversity of Puerto Rico MayaguezUniversity of Texas El PasoStarting Year with NCAS/NCAS-M*Please enter a number greater than or equal to 2000.Ending Year with NCAS/NCAS-M*Please enter a number less than or equal to 2022.NCAS/NCAS-M Cohort(s)* NCAS NCAS-M Cohort 1 NCAS-M Cohort 2 NCAS-M Cohort 3 NCAS-M Cohort 4 NCAS-M Cohort 5 Experiential Training Summer Program (ETSP) HiddenNCAS-M Faculty Advisor(s)Select faculty advisorTerri Adams, PhDJuan Arratia, PhDRoy Armstrong, PhDSen Chiao, PhDBelay Demoz, PhDYasmín Detrés, PhDSonya Smith, PhDGamal El Afandi, PhDJoseph Essamuah-Quansah, PhDMehri Fadavi, PhDSouleymane Fall, PhDRosa M. Fitzgerald, PhDJose D Fuentes, PhDThomas E. Gill, PhDCharles Ichoku, PhDEverette Joseph, PhDRicardo Kendi Sakai, PhDHaydar Kurban, PhDSiwei Li, PhDXin-Zhong Liang, PhDDuanjun Lu, PhDCeleste Malone, PhDQilong Min, PhDVernon R. Morris, PhDRemata S. Reddy, PhDSamuel Shen, PhDHari P. Singh, PhDWilliam Stockwell, PhDCarolyn Stroman, PhDTia C. M. Tyree, PhDLoren D. White, PhDOtherHiddenDegree Level PursuedPlease select the degree level pursued while engaged with NCAS-M. BS BA MS MA PhD None Other Degree Level(s) Pursued*Please select the degree level(s) pursued while engaged with NCAS-M. BS BA MS MA PhD None HiddenHighest Degree Level Achieved* BS/BA MS/MA PhD None Major(s)*Please enter the major(s) that you pursued while engaged with NCAS-M. HiddenMajorPlease enter the major that you pursued for the aforementioned degree, if different from the major pursued while engaged with NCAS-M. Did you complete the degree(s) that you were pursuing while engaged with NCAS-M* Yes No Other HiddenGraduation Date Month Day Year Please provide additional details if you did not complete the degree(s) that you were pursuing while engaged with NCAS-M.HiddenPlease select activity(ies) participated in following your exit from NCAS-M to report.* Education Employment Fellowship None of the Above Thesis DetailThesis/Dissertation/Project Title*Please enter the title to the thesis/dissertation/project completed while engaged with NCAS-M. If not applicable, enter N/A. If applicable, please share a URL link to your thesis/dissertation/project completed while engaged with NCAS-M. If applicable, please upload your thesis/dissertation/project.Max. file size: 128 MB.If applicable, please upload your thesis/dissertation/project data.Max. file size: 128 MB. Current or Most Recent EmploymentEmployer*Please enter employer name. If not applicable, enter N/A. PositionPlease enter position/title. Is/was this position NOAA STEM Related? Yes No Employment Location City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Employment Start DatePlease provide approximate start date for your current or most recent employer. Month Day Year Employment End DatePlease provide approximate end date for your most recent employer. Month Day Year Further EducationAs applicable, please provide detail on education pursued after leaving NCAS-M.Academic Institution*Please enter institution name. If not applicable, enter N/A. Academic Institution LocationIf not applicable, enter N/A. City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Degree Level PursuedPlease select the degree level pursued at the subsequent institution. Not applicable BS BA MS MA PhD Other MajorPlease enter the major pursued at the subsequent institution. Program Start DatePlease enter the approximate date that you started the program/degree pursued. Month Day Year Program End DatePlease enter the approximate date that you ended the program/degree pursued. Month Day Year Is/was this program NOAA STEM Related? Yes No What is/was the Source of Support for this program? FellowshipAs applicable, please provide detail on the fellowship participated in after leaving NCAS-M.Fellowship Name*Please enter fellowship name. If not applicable, enter N/A. Fellowship Agency/Organization NamePlease enter name of agency/organization that hosts fellowship. Fellowship Project Title Fellowship Start DatePlease provide approximate start date for your fellowship. Month Day Year Fellowship End DateAs applicable, please provide approximate end date for your fellowship. Month Day Year Fellowship Location City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Fellowship Mentor(s) Web Links & HeadshotPlease upload an updated picture/headshotAccepted file types: jpg, jpeg, png, gif.LinkedIn Profile Link Other Professional Web Link Twitter handle Instagram handle EmailThis field is for validation purposes and should be left unchanged.
