Voices for Science - Science Policy Track

Name*

First Last

Email*

Academic or Professional Affiliation*

Job Title*

Home Address (to identify your congressional district)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Address (to identify the congressional district of your institution)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone*

Cell Phone*

Twitter Handle

Instagram Handle

Please answer the following questions in 250 words or less.

Why are you interested in this opportunity?*

Please describe your research/job. Please answer as if you are writing for a non-scientist.*

Explain how your research is relevant to your community and/or state.*

Does your research receive government funding and, if so, from which agencies and programs?*

Do you have experience working or speaking with policy makers or their staff, or relationships with policymakers or their staff? If yes, please explain. If no, please explain why you would like to gain this experience.*

What level of comfort do you have interacting with policy makers?*

Have you had any training in communicating with policy makers or general science communication training? If so, what type and when?*

Are there specific science policy issues that you would like to talk about with your federal policy makers? If so, please list them here.*

How did you hear about this opportunity?

Please attach a one-pager of your research or work and its relevance to society

Max. file size: 60 MB.

For more information on one-pagers, see AGU's one minute overview of one-pagers (https://youtu.be/umXXYryoG8I) or our full webinar (https://youtu.be/RhZZQ2OP9OA). We strongly recommend that you watch at least the one minute video before you create and submit a one-pager.

If accepted to the Voices for Science initiative, you would be required to attend the orientation at the in-person workshop from 15-17 April 2024. Can you attend on these dates (and thus participate in the program)? AGU will provide travel funds.*

Yes, I can and will attend the workshop on those dates.

No, I cannot attend on those dates.

Should you be accepted, you’ll be interacting with a wide variety of people, from other Voices for Science advocates to AGU staff to policy makers, members of the public, and journalists. By checking the box below, you acknowledge your willingness to be professional and courteous in all your encounters, and your expectation that AGU staff and other Voices for Science advocates will behave in the same way.*

I understand.

Demographic Questions

We want to ensure that we are representing and supporting all Earth and space scientists. To help us do so, please answer the following demographic questions.

Career stage:*

Graduate Student

Early career (within 10 years of receiving highest terminal degree)

Mid-career (10 to 24 years from receiving highest terminal degree)

Experienced (25 years or more from receiving highest terminal degree)

Retired

For U.S. scientists: Race/Ethnicity (select as many as apply):*

You selected "Not listed" in the previous question. Please specify:

Gender*

Female

Male

Non-binary

Prefer to self-describe

Prefer not to answer

You selected "Prefer to self-describe" in the previous question. Please specify:

Do you identify as transgender?*

Yes

Prefer not to say

Do you identify as:*

Heterosexual

Homosexual

Queer

Bisexual

Pansexual

Prefer to self-describe

Prefer not to say

You selected "Prefer to self-describe" in the previous question. Please specify:

Thank you for applying to be a Voice for Science!

Applications close on 8 February 2024 at 11:59 PM Eastern time for US applicants, and 28 March 2024 at 11:59 PM Eastern time for CAN, UK and EU applicants.

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