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Team Member Form

NM EPSCoR SMART Grid Team Member Form

This form is intended to collect information about NM SMART Grid Center team members. The information will be used internally for project management purposes and aggregated for reporting to NSF.

Contact Information

First Name

Last Name

Preferred Email Address

Phone Number

Current Address

City/Town

State/Province

ZIP/Postal Code

Demographics

The National Science Foundation (NSF) requires our project to report the demographic information of project participants. This information is always reported in aggregate without any personally identifying information.

Gender

Are you a Veteran?

NM EPSCoR Smart Grid Center Project Involvement

Role

Undergraduate Student Information

EPSCoR Supervisor/Advisor

Major

What type of degree are you seeking?

When do you expect to graduate?

Have you completed your Responsible Conduct for Research (RCR) Training?

Graduate Student Information

EPSCoR Supervisor/Advisor

Department

What type of degree are you currently seeking?

When do you expect to graduate?

Have you completed your Responsible Conduct for Research (RCR) Training?

Post Doc

Have you completed your Responsible Conduct for Research (RCR) Training?

Institution

Start Date with Project

Approximately how many months do you plan to work on NM EPSCoR SMART Grid Center activites this year?

Component

Select all that apply.

Research Goal 1: Architecture

Research Goal 2: Networking

Research Goal 3: Decision-Support

Research Goal 4: Deployment

Cyberinfrastructure

Workforce Development

Outreach/Education

Diversity

Other…

Briefly Describe Your Role in This Project

Team Member Form

Team Member Form

NM EPSCoR SMART Grid Team Member Form

Contact Information

Demographics

NM EPSCoR Smart Grid Center Project Involvement

who we are

what we do

News & Events

resources