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Appendix H Research Associateship National Research Council Programs FINAL REPORT Return this form directly to the NRC as an E-mail attachment, or print out and mail or fax. M.I. 1) Associate Last or Family Name First Name 2) FORWARDING Address (to which your tax statement will be mailed) FORWARDING Phone(s) and E-Mail (if known) Res. or Inst. Home Phone: Street Alt. Phone: City, State Zip E-mail: 3) Today's Date Dates of Tenure from to 4) Agency Laboratory or Center Division / Directorate / Department 5) Name of Laboratory NRC Adviser (and USMA Mentor, if applicable) 6) TITLE OF RESEARCH PROPOSAL 7) SUMMARY OF RESEARCH DURING TENURE Itemize significant findings in concise form, utilizing key concepts/words. 1) 2) 3) 4) 5) (USMA Davies Fellow: please add summary of teaching, including classes taught.) 8) RESEARCH IN PROGRESS Describe in no more than 100 words. 9) PUBLICATIONS AND PAPERS RESULTING FROM NRC ASSOCIATESHIP RESEARCH Provide complete citations: author(s), title, full name of journal, volume number, page number(s), and year of publication. a) Publications in peer-reviewed journals b) Books, book chapters, other publications c) Manuscripts in preparation, manuscripts submitted 152
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10) PATENT OR COPYRIGHT APPLICATIONS RESULTING FROM NRC ASSOCIATESHIP RESEARCH Provide titles, inventors, and dates of applications. 11) PRESENTATIONS AT SCIENTIFIC MEETINGS OR CONFERENCES Provide complete references: author(s), title, abstract/proceeding citation, meeting name and location. International Domestic 12) SEMINARS OR LECTURES DELIVERED AT UNIVERSITIES AND/OR INSTITUTES Include dates, names and locations of seminars. 13) PROFESSIONAL AWARDS RECEIVED DURING TENURE 14) POST-TENURE POSITION TITLE 15) POST-TENURE 0RGANIZATION Provide name and address of organization. 16) POST-TENURE POSITION STATUS / CATEGORY Please indicate only one. Remain at Host Agency as Permanent Employee Research/Teaching at US College/University Remain at Host Agency as Contract/Temporary Research/Teaching at Foreign College/University Employee Research/Administration in Industry Research/Administration in Non-Profit Organization Abbreviate Host Laboratory/Center Research Position at Another US Government Postdoctoral Research Laboratory Self Employed Administrative Position at US Government Laboratory Other: specify Research Position at Foreign Government Laboratory 153
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17) APPRAISAL OF RESEARCH ASSOCIATESHIP PROGRAM On a scale of 1 – 10 (poor - excellent), please rate the following: SHORT TERM VALUE Development of knowledge, skills, and research productivity Comments LONG TERM VALUE How the NRC Associateship award affected your career to date Comments LAB SUPPORT Quality of support from the Laboratory--equipment, funding, orientation, safety and health guidelines, etc. Comments ADVISER/MENTOR SUPPORT Quality of mentoring from the Laboratory NRC Adviser (USMA Mentor, if applicable) Comments LPR SUPPORT Quality of administrative support from the Laboratory (e.g., NIST) NRC Program Representative (LPR) Comments NRC SUPPORT Quality of administrative support (applications, inquiries, post-review, award-related, travel, etc.) from the NRC Comments 18) PLEASE PROVIDE ANY SUGGESTIONS FOR PROGRAM IMPROVEMENT. 154