Fed sign up 3 - Government & Community Relations

Telephone Number

Street Address

City

State

Zip

Social Media Handle

UCLA Campus Department

Degrees and Institutions

Years at UCLA

Professional Title

Company

RESEARCH

2. If you conduct research, what is your area of study and how did you get interested in this field?

3. What is compelling about the impacts that your programs or research projects have on communities in California and outside of the state? (e.g. Impact on individuals, job creation, etc)

4. How might your research have applicability to the military or national security? Some connections might surprise you – for example the Department of Defense has supported Breast Cancer Research (http://cdmrp.army.mil/bcrp/) and the Intelligence Advance Research Projects Agency (IARPA) supports a wide range of innovative research initiatives (https://www.iarpa.gov/index.php/research-programs).

5a. What federal or state funding do you currently receive for your research or job that you do?

5b. What areas of your research do you think might be vulnerable to budget cuts or new policy proposals? (e.g. Is it important that the research be seen as independent? Does it help leverage private sources of funding?)

6. Describe why it is important that government funds continue to support your research and the specific role that the government funding plays, as opposed to philanthropic or corporate funds.

FINANCIAL AID

7. Please describe which types of financial aid or grants you received to attend UCLA or other higher ed institution or how you are involved with financial aid at UCLA.

ADVOCACY

8a. Please rate your level of comfort in advocacy (Check all that apply.)

No experience, but willing to learn
I’ve sent emails, signed on to petitions, and written letters to policy makers
Participated in meetings with elected officials and/or their staffs
Planned and organized visits to elected officials’ offices or hosted them on campus
I engage directly with elected officials and/or their staffs

8b. I have done advocacy for the following organizations (List all that apply)

8c. I have relationships with the following elected officials and/or their staff members (List and describe the nature of the relationships.)

8d. Describe some of the key partnerships or memberships that you have (academic institutions, societies, associations, corporations, industry, non-profits, or philanthropic organizations)

8e. I am interested in (check all that apply)

Writing letters
Writing emails
Making phone calls
Attending town hall meetings
Using social media
Participating in small group meetings with elected officials
Participating in small group meetings with agency staff
Attending an advocacy training
Attending a media training

9. Ideas, comments, suggestions or specific requests?