JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
APECS Member Survey 2015
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Basic Info we need to find you in our APECS Member Database
Name (first and last)
*
Your answer
Prior Last Name
In case you changed your name since you signed up for APECS, so that we find you in our member database.
Your answer
Email Adress
*
Your answer
Demographic Information
Country of Current Residence
Your answer
Country of Birth
Your answer
Gender
Male
Female
Other
Clear selection
Age
Choose
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
older than 60
Current Employment
Academia - faculty
Academia research staff
Non-profit
Private industry
Government - policy
Government - national lab
Other:
Clear selection
APECS Involvement
Personal Engagement with APECS (since you signed up as a member of the organisation)
Check all that apply.
National Committee activities
International Leadership
Used career resources (e.g. job board, field school calendar, mentorship database)
APECS events at conferences / meetings
Other:
Why do you wish to leave the APECS mailing list?
Check all that apply.
I am no longer an early career researcher.
I am no longer involved in polar / cryosphere research.
I do not find the content relevant anymore.
Did APECS have an impact on your career or not?
Your answer
Any additional comments for APECS?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Association of Polar Early Career Scientists.
Report Abuse
Forms
