{"id":34,"date":"2026-10-07T16:22:34","date_gmt":"2026-10-07T20:22:34","guid":{"rendered":"https:\/\/grcalumni.org\/?page_id=34"},"modified":"2026-10-07T16:22:34","modified_gmt":"2026-10-07T20:22:34","slug":"gaa-membership-application","status":"publish","type":"page","link":"https:\/\/grcalumni.org\/?page_id=34","title":{"rendered":"GAA Membership Application"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-cea32d5a-2bf0-4e88-95b4-e4b24a62ca85 wpforms-render-modern\" id=\"wpforms-26\"><form id=\"wpforms-form-26\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"26\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F34\" data-token=\"b2745891cfcb9ee18f27ade659acd17a\" data-token-time=\"1791412327\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-26-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-26-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-26-field_1-error\" required><label for=\"wpforms-26-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-26-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-26-field_1-last-error\" required><label for=\"wpforms-26-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-26-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Spouse\/Significant Other Name (optional)<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-26-field_2\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-26-field_2-error\" ><label for=\"wpforms-26-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-26-field_2-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-26-field_2-last-error\" ><label for=\"wpforms-26-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-26-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_3\">Street Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-26-field_3-error\" required><\/div><div id=\"wpforms-26-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_4\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-26-field_4-error\" required><\/div><div id=\"wpforms-26-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_5\">State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-26-field_5-error\" required><\/div>\t\t<div id=\"wpforms-26-field_18-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"18\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-26-field_18\" >&#8230;) Number Year<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-26-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-26-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_6\">Zip Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-26-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" aria-errormessage=\"wpforms-26-field_6-error\" required><\/div><div id=\"wpforms-26-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_7\">Mobile Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-26-field_7-error\" required><\/div><div id=\"wpforms-26-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_8\">Land Line Phone Number<\/label><input type=\"text\" id=\"wpforms-26-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-26-field_8-error\" ><\/div><div id=\"wpforms-26-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_9\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-26-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" aria-errormessage=\"wpforms-26-field_9-error\" required><\/div><div id=\"wpforms-26-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-26-field_10\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][10][first]\" aria-errormessage=\"wpforms-26-field_10-error\" aria-describedby=\"wpforms-26-field_10-description\" required><label for=\"wpforms-26-field_10\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-26-field_10-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][10][middle]\" aria-errormessage=\"wpforms-26-field_10-middle-error\" aria-describedby=\"wpforms-26-field_10-description\" ><label for=\"wpforms-26-field_10-middle\" class=\"wpforms-field-sublabel after\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-26-field_10-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][10][last]\" aria-errormessage=\"wpforms-26-field_10-last-error\" aria-describedby=\"wpforms-26-field_10-description\" required><label for=\"wpforms-26-field_10-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-26-field_10-description\" class=\"wpforms-field-description\">Full Name as it appears on your phone ID (State issued driver&#8217;s  license or passport)<\/div><\/fieldset><\/div><div id=\"wpforms-26-field_11-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_11\">Separation\/Retirement Year <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-26-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" step=\"any\" aria-errormessage=\"wpforms-26-field_11-error\" required><\/div><div id=\"wpforms-26-field_12-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_12\">Number of Years of Service as NACA\/NASA Civil Servant <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-26-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" step=\"any\" aria-errormessage=\"wpforms-26-field_12-error\" required><\/div><div id=\"wpforms-26-field_13-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_13\">Numbers of Years of Service as a Contractor <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-26-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" step=\"any\" aria-errormessage=\"wpforms-26-field_13-error\" required><\/div><div id=\"wpforms-26-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_14\">NASA Organization or contract firm retired from (please provide the name) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-26-field_14-error\" required><\/div><div id=\"wpforms-26-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_15\">Job Title at Retirement of Separation (e.g. Research Engineer, Analyst, Chief, &#8230;) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-26-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-26-field_15-error\" required><\/div><div id=\"wpforms-26-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_16\">Areas of Expertise and Programs\/Projects worked)<\/label><textarea id=\"wpforms-26-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-26-field_16-error\" ><\/textarea><\/div><div id=\"wpforms-26-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Are you willing to support Center events? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-26-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_17_1\" name=\"wpforms[fields][17]\" value=\"Yes\" aria-errormessage=\"wpforms-26-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_17_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_17_2\" name=\"wpforms[fields][17]\" value=\"No\" aria-errormessage=\"wpforms-26-field_17_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_17_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_17_3\" name=\"wpforms[fields][17]\" value=\"Maybe\" aria-errormessage=\"wpforms-26-field_17_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_17_3\">Maybe<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-26-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Are you willing to share knowledge with NASA employees\/students? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-26-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" aria-errormessage=\"wpforms-26-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" aria-errormessage=\"wpforms-26-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_22_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_22_3\" name=\"wpforms[fields][22]\" value=\"Maybe\" aria-errormessage=\"wpforms-26-field_22_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_22_3\">Maybe<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-26-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Are you willing to serve as a docent or tour guide for Center tours? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-26-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\" aria-errormessage=\"wpforms-26-field_23_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\" aria-errormessage=\"wpforms-26-field_23_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_23_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_23_3\" name=\"wpforms[fields][23]\" value=\"Maybe\" aria-errormessage=\"wpforms-26-field_23_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_23_3\">Maybe<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-26-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Are you willing to serve on GAA Board\/Committees? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-26-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_24_1\" name=\"wpforms[fields][24]\" value=\"Yes\" aria-errormessage=\"wpforms-26-field_24_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_24_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_24_2\" name=\"wpforms[fields][24]\" value=\"No\" aria-errormessage=\"wpforms-26-field_24_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_24_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_24_3\" name=\"wpforms[fields][24]\" value=\"Maybe\" aria-errormessage=\"wpforms-26-field_24_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_24_3\">Maybe<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-26-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Are you currently working as a contractor on-site at GRC? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-26-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" aria-errormessage=\"wpforms-26-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_25_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-26-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" aria-errormessage=\"wpforms-26-field_25_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-26-field_25_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-26-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-26-field_26\">Do you have any additional comments or questions?<\/label><textarea id=\"wpforms-26-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-26-field_26-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-26-field_18-container { position: absolute !important; overflow: hidden !important; display: 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class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/grcalumni.org\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"class_list":["post-34","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/pages\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/grcalumni.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34"}],"version-history":[{"count":2,"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/pages\/34\/revisions"}],"predecessor-version":[{"id":36,"href":"https:\/\/grcalumni.org\/index.php?rest_route=\/wp\/v2\/pages\/34\/revisions\/36"}],"wp:attachment":[{"href":"https:\/\/grcalumni.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}