Stellar Dreams Program Application
Thank you for your interest in the Stellar Dreams Program! We are excited to learn more about you and your passion for astronomy. Please fill out the following form to help us understand your interests and experiences.
Demographics
We want to know about who you are and where you come from.
What is your first and last name?
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First Name
Last Name
If you are applying on behalf of a community group, please indicate the name of your community group.
When is your birthday?
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Month
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Day
Year
Date
What is your gender?
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Male
Female
Non-binary
Other
Prefer not to say
What zip code do you live in?
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What is your email address?
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example@example.com
What is your ethnicity? (Select all that apply)
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White
Black-American
African-American
Asian
Hispanic or Latino
Pacific Islander
Prefer not to say
Other
Parent/Guardian Name (IF UNDER 18 YEARS OLD)
First Name
Last Name
Parent/Guardian Email (IF UNDER 18 YEARS OLD)
example@example.com
If you are applying on behalf of a community group, please share more information about your community group, and why your group would like to be a part of the Stellar Dreams Program.
Your Telescope Experience
How familiar are you with telescopes?
On a scale of 1-5, how familiar are you with using telescopes?
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1 - Not familiar at all: You have little to no experience with telescopes and may not know how to use one.
2- A little familiar: You have seen telescopes or heard about them but have not used one yourself
3- Somewhat familiar: You have used a telescope a few times but still feel unsure about how to operate it effectively.
4- Very familiar: You are comfortable using a telescope and can set it up and use it without much help.
5- Extremely familiar: You are very experienced with telescopes and can teach others how to use them.
Your Astronomy Opportunities
Tell us about the opportunities that you have had in the field of astronomy.
On a scale of 1-5, how would you rate your access to a telescope?
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1 - No access at all: I do not have the means to obtain or use a telescope.
2 - Limited access: I have occasional or restricted access to a telescope, such as through borrowing or shared use.
3 - Moderate access: I have regular access to a telescope, but they may not be the highest quality or most up-to-date.
4 - Good access: I have reliable access to a quality telescope that I can use regularly.
5 - Full access: I have my own high-quality telescope that I can use whenever I want.
On a scale of 1-5, how would you rate your access to books or online resources about astronomy?
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1 - No access at all: I do not have any books, websites, or online courses about astronomy available to me.
2 - Limited access: I have limited access to a few basic astronomy resources, but they may not be comprehensive or up-to-date.
3 - Moderate access: I have access to some astronomy resources, but they may not cover all the topics I'm interested in.
4 - Good access: I have access to a wide range of high-quality astronomy resources, both physical and digital.
5 - Full access: I have unlimited access to a vast array of astronomy books, websites, online courses, and other educational materials.
On a scale of 1-5, how would you rate your access to STEM professionals, such as astronomers?
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1 - No access at all: I do not know any STEM professionals or astronomers, and have no way to connect with them.
2 - Limited access: I may know one or two STEM professionals or astronomers, but have limited opportunities to interact with them.
3 - Moderate access: I have some connections with STEM professionals or astronomers, but they are not readily available for guidance or mentorship.
4 - Good access: I have several STEM professional or astronomer contacts that I can regularly interact with and seek advice from.
5 - Full access: I have extensive networks of STEM professionals and astronomers that I can easily connect with for support and guidance.
On a scale of 1-5, how often do you participate in local astronomy events or community gatherings?
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1 - Never: I have never gone to any local astronomy events.
2 - Rarely: I go to local astronomy events only once in a while.
3 - Occasionally: I attend local astronomy events a few times a year.
4 - Frequently: I go to local astronomy events several times a year.
5 - Very frequently: I attend local astronomy events every month or even more often.
On a scale of 1-5, how would you rate the financial support available for your astronomy activities?
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1 - No support at all: I do not get any money or help for astronomy activities.
2 - Limited support: I have a little money or help, but it only covers a small part of my costs.
3 - Moderate support: I get some money or help, but it does not cover everything I need.
4 - Good support: I have enough money or help to cover most of my astronomy costs.
5 - Excellent support: I have plenty of money or help, so I can fully enjoy my astronomy activities without worrying about costs.
Your Interests in Astronomy
What do you want to learn about astronomy?
Think about how you became interested in astronomy. What got you excited about it? Share any special experiences or events that helped you develop your passion for astronomy. Your answer should be at least 100 words.
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Identify someone in astronomy or a related field who inspires you. How has their work or achievements motivated you to pursue your own goals in astronomy? Your answer should be at least 100 words.
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0/0
Consent for Participation in Research Study
The Science Haven is conducting research on the Stellar Dreams Program to understand the experiences of individuals and community groups interested in astronomy. We want to learn more about their interests, challenges, and goals in this exciting field. Our aim is to understand how factors like community support, educational resources, and personal experiences affect how people engage with astronomy. Participants in this study will be asked to complete a survey consisting of questions designed to gather detailed insights about their experiences in the Stellar Dreams Program, and with astronomy. This research study will allow us to understand the broader impact of community initiatives on fostering interest in astronomy among different age groups. The information we gather will help us find ways to improve astronomy education and programs, making them more helpful and inspiring for everyone. Your input is vital in helping shape the future of astronomy education and making it accessible to all ages and communities.
Consent for Participation in Research Study:
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I give consent to participate in the research study and provide my responses to the survey.
Consent for Stellar Dreams Program Video Documentation and Testimonials
Participants in our Stellar Dreams Program will be asked to document their astronomy experiences through short videos. These videos will serve multiple purposes: they will provide us with a more immersive understanding of how people of all ages and backgrounds are exploring and discovering the wonders of the universe, and they will be used to showcase our program offerings. By promoting what the program has to offer, we aim to continue receiving support from our community and inspire others to get involved. We would also like to collect testimonials from participants about their experiences in the Stellar Dreams Program. Your testimonials will help illustrate the impact of the program on individuals and the community as a whole.
Consent for Stellar Dreams Program Video Documentation and Testimonials
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I consent to have my experiences documented in videos for promotional purposes, including showcasing program offerings.
I agree to provide a testimonial about my experience participating in the Stellar Dreams Program, for promotional purposes, including showcasing program offerings..
Signature of Applicant (Parent/Guardian must sign here if applicant is under 18 years of age)
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