Informal Education Report Form

Informal Education Report Form
Name of Project Contact/PI: *

First Name Last Name
Email *
example@example.com
Project Activity Name *
Project Description: *
Which NASA Mission Directorate does your project align with best? *

Aeronautics Mission Directorate (ARMD) Human Exploration Mission Directorate (HEO) Space Technology Mission Directorate (STMD) Science Mission Directorate (SMD)
If you are unsure of which Mission Directorate aligns with your project, use the following link: https://ctspacegrant.org/nasa-mission-directorates
Have you previously attended the Grants Expo for this award? *

Yes No
If so, what year did you attend the expo?
The project includes the following components (check all that apply) *

Standard-base and/or learning objective content Supplemental Materials/Handouts Staffing N/A

Enter the number for each type of activity supported by this project *


Informal Educator Professional Development - Short Duration (< 2 Days)
Informal Educator Professional Development - Long Duration (> 2 Days)
Exhibit Supported/ Developed
Student Hands-on Activity
Public At Large Activities Supported
Other

Project Activity Dates: *
What was the duration of your project activity: *

Short Event (2 days or less) Long Event (> 2 Days) Multi-Month (Semester/Quarter) Year-Long(12 months)
If the project activity was held in the US at a location other than a NASA center, please provide the city, state, & zip code of the location:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How many online STEM-based teaching tools were created and/or maintained as a result of this activity/project? *
An online STEM-based teaching tool is defined as a resource for K-12 and informal educators and higher education faculty that provides support to improve educators' STEM knowledge and/or enhances student interest and proficiency in STEM.
Please provide the following information for each teaching tool:
Does this activity provide opportunities for Informal Educators to participate in an existing NASA-sponsored project? *

Yes No N/A
Does this activity provide opportunities for students to participate in an existing NASA-sponsored project? *

Yes No N/A

Please enter the total number of direct and indirect attendees reached via this activity. *

	Direct Interaction	Indirect Interaction
Elementary School Teachers
Middle School Teachers
High School Teachers
Pre-Service Teachers
Informal Educators
Higher Education Faculty
Elementary School Students
Middle School Students
High School Students
Undergraduate Students
Graduate Students
Post-Doctoral
Administrators
Public At Large
Other
Total Participants

Direct Participants are individuals that are direct benefiaries of the acitivity (i.e. participants and or attendees that may have registered for the activity), indirect participants are individuals that indirectly benefit from the NASA activity and/or can only be estimated (i.e. students that participate in revised courses that were developed via activity funds.

Please enter the number of direct participants that are unique to you activity/project. the unique participant fields are fields that indicate the actual number of individuals served. *

	Unique Participants	Unique Participants whose primary affiliation is with another project	Primary Project Affiliation
Elementary School Teachers
Middle School Teachers
High School Teachers
Pre-Service Teachers
Informal Educators
Higher Education Faculty
Elementary School Students
Middle School Students
High School Students
Undergraduate Students
Graduate Students
Post-Doctoral
Administrators
Public At Large
Other
Total Participants

Please enter the number of direct participants that are unique to your activity/project. *
The unique participant fields are fields that indicate the actual number of individuals served.
Direct Significant Investment: Please enter the total number of direct student participants who received a significant investment. (The total number of significant investment students is a subset of the total number of direct funded participants.) *
A significant investment is defined as participants receiving significant personal investment(s) of 3k or greater in financial support. 160 or greater hours of direct contact, or some of other support considered "significant". For some projects, the minimum level determining significant investment may be greater.
Please describe the involvement of higher education students and faculty in the conduct of this element of the overall project: *

Project Summary and Impact
Please provide a paragraph detailing your grant work and how this grant has impacted your organization. In addition, please include any available photographs detailing your grant work. These can be attached as pdf’s or jpeg’s below. The project summary and submitted photographs may be posted on our website and/or be used in our newsletter.
Please comment on the impact of this project/award on your organization. *
Project Summary: *
Pictures:

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Informal Education Report Form

Project Summary and Impact

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