Pre-College Report Form

Pre-College Report Form
Teacher Workshops & K-12 Support
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
What year did you attend the expo? *

Enter the number of events supported by this project: *

	Number
Educator Professional Development
Student Engagement

Project Activity Dates: *
Duration of your project activity: *

Short Event ( < 2 days) 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? *
For each online STEM-based teaching tool, please complete the table below (add a row for each tool created). *
How many interactive K-12 student activities were conducted? *
Are evaluation mechanisms in place to demonstrate that teachers utilize the materials/knowledge in their classrooms? *

Yes No N/A
Please explain: *
Does this activity provide opportunities for Pre-College Educators to participate in an existing NASA-sponsored project? *

Yes No N/A
Does this project contain Pre-College student-based components? *

Yes No N/A
Please explain how the student-based component quantitatively contributes to the STEM pipeline: *
Number of short duration (< 2 days) student-based activities: *
Number of long duration (>/= 2 days) student-based activities: *
Does this activity provide opportunities for students to participate in an existing NASA-sponsored project? *

Yes No N/A
Please enter the number of any other activities supported by this project: *
Please provide a description for any activities mentioned above: *

Please utilize the Defined Terminology and Activity Types document to properly complete the following questions.

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
Parents/Guardians
Public At Large
Other

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	Activity Type
Elementary School Teachers
Middle School Teachers
High School Teachers
Pre-Service Teachers
Informal Educators
Elementary School Students
Middle School Students
High School Students

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 Funded: Please enter the total number of direct student participants who received monetary support (regardless of the amount). This should be a subset of the total Direct Student Participants recorded in the table above. Direct funded student participants do not include recipients of reimbursements (i.e. travel, supplies, meals, etc...). *
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: *

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Pre-College Report Form

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