*Individual Membership and Directory Form*

ADSA Community Directory Form
The ADSA Community Directory offers individuals in our community opportunities to find each other and connect. The Directory is entirely opt-in and reliant on individuals to update their own profiles. Please ensure you revisit your entry regularly or update it when there has been a change in your affiliation or other posted information. You may also share information with ADSA only (hidden from public view) that we may use when we are looking for speakers or collaborators.

NOTE: If there is information you do not wish to be made public in the directory, please do not include those answers and/or select "no" to the question: I would like the information I have provided above to appear in the public ADSA Membership Directory.

Submissions must be approved by ADSA staff and may take up to a week to appear in the Directory.

If you have questions about the directory, please contact ADSA at info@academicdatascience.org
About you
Name*

First NameLast Name
Pronouns*

he/himshe/herthey/themI don't use pronounsPrefer not to saySpecify your own
Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Institution/Agency/Company Name*
e.g. University of West Narnia
Department, Institute/Center, Division Name
e.g. Center for Data Science
Current Position Title*
e.g. Assistant Professor, Staff Researcher, Graduate Student, Undergraduate, etc.
In what professional sector is your current position?*
If "Other", please briefly describe your general sector of work
Short biography
Please provide a short bio about yourself and your interests - e.g. "I am broadly interested in the effectiveness of poverty programs. Recently I have focused on housing and mortgage lending topics like affordability, discrimination, and neighborhood change. Previously, I ..."
Your training and interests
Institution of highest degree obtained
e.g. University of Mordor
Select other forms of training (if applicable)

BootcampCertificationFellowshipInternshipPostdocResidencySelf-taughtI do not have other training to listSpecify other training
Institution(s) of other training, if applicable (ex. Bootcamp, Certification, Fellowships, Postdoc etc.)
Photo (Professional-like headshot, like Linkedin or personal website photo)

***USE A SQUARE PHOTO*** Rectangles that are taller than wide will be cropped***
Cancelof
Other than Data Science, what is your Primary Field of Research or Interest
e.g. Physics, Computer Science, Economics
Other than Data Science, what is your Secondary Field of Research or Interest
e.g. Physics, Computer Science, Economics
If you selected "Other" for either your Primary or Secondary Field, please enter your field of research or interest below
Skills
Please list the techniques/software/programs that you frequently use, separated by commas. e.g. "R, Jupyter, Git, regression analysis"
Would you like to appear in a public directory of members on our website or be listed in a member-access-only directory available to other members upon request?*

Include me in the public directoryOnly include me in the member-access directoryDo not include me in any directory
Mentoring

ADSA no longer has an active a mentoring program, however we may connect people who request mentorship on a case by case basis. Please let us know if you are open to acting as a mentor with a partner and if you are looking to match with a mentor.
I am open to being a mentor
I would like to be matched with a mentor
Your websites and links
Email Address*
example@example.com
Personal/professional website URL
Linkedin website URL
Github username:
@blanks
Twitter handle:
@blanks
ORCiD URL
e.g. https://orcid.org/0000-0002-8752-272X
Which websites and links above would you NOT like listed on the public membership website?*

Email AddressPersonal / professional website URLLinkedin website URLGithub usernameTwitter handle16-digit ORCID iDI do not want any of the above info on the membership websiteI would like ALL links above published on the membership website
Additional Information
Anything else you'd like us to know? (for ADSA internal use only)
Demographic Information

This question is optional and will only be used to assess our community's population as a whole. Diversity and inclusion are important to us. We want to ensure our community represents a diverse group of voices. This information will be anonymized and never tied to your personal information in any reports or documents.
For U.S. respondents only: do you self-identify as part of an underrepresented or marginalized group in either your community or professional field? If yes, along which dimension(s) do you self-identify? Check all that apply.

AgeDisabilityFamily or personal educational attainmentGender identityEthnicity, raceNationalitySexual orientationSocioeconomic statusReligionDo not wish to provideAnother dimension not listed
Acknowledgements
By checking this box, I acknowledge that I will abide by ADSA's Code of Conduct while engaging in any ADSA-sponsored activities or while representing ADSA.*

I agree
Please verify that you are human*
Should be Empty:

ADSA Community Directory Form

About you

Your training and interests

Mentoring

Your websites and links

Additional Information

Demographic Information

Acknowledgements