FormTest Page Point of contact (required) Your Email (required) Project Title Description * You can write your submission or choose a file to upload. ____________________________________________________________________________________________________________________ 1) How many online STEM based teaching tools were created and/or maintained as a result of this activity/project? Definition: 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: If any, please list: Description Category Type New/Existing Web-Based CurriculumDLN SessionsVirtual SpaceGame-Based Program NewExisting Web-Based CurriculumDLN SessionsVirtual SpaceGame-Based Program NewExisting Web-Based CurriculumDLN SessionsVirtual SpaceGame-Based Program NewExisting Web-Based CurriculumDLN SessionsVirtual SpaceGame-Based Program NewExisting Web-Based CurriculumDLN SessionsVirtual SpaceGame-Based Program NewExisting ____________________________________________________________________________________________________________________ 2) Enter the total number of direct and indirect attendees reached via this activity. Direct participants are individuals that are direct beneficiaries of the activity (i.e. participants and or attendees that may have registered for the course) indirect participants are individuals that indirectly benefit from the NASA activity and/or can only be estimated (i.e students that participate in courses that were developed via activity funds). Participants Direct Interaction Indirect Interaction Pre-Service Teachers Higher Education Faculty Undergraduate Graduate Post Doctoral Community College Total Participants ____________________________________________________________________________________________________________________ 3) How many students have engaged in research (all participants regardless of funding level)? Name email Institution Gender Level MaleFemale GraduatePost GraduateUnder Graduate Race Disability American Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderAsianWhiteHispanicBlack or African American VisionOther ImpairmentsI do not wish to identify my disability statusMissing extremitiesHearingParalysisI do not have a disabilityI have a disability, but it is not listed Name email Institution Gender Level MaleFemale GraduatePost GraduateUnder Graduate Race Disability American Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderAsianWhiteHispanicBlack or African American Other ImpairmentsI do not wish to identify my disability statusMissing extremitiesHearingParalysisI do not have a disabilityI have a disability, but it is not listed Name email Institution Gender Level MaleFemale GraduatePost GraduateUnder Graduate Race Disability American Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderAsianWhiteHispanicBlack or African American Other ImpairmentsI do not wish to identify my disability statusMissing extremitiesHearingParalysisI do not have a disabilityI have a disability, but it is not listed Name email Institution Gender Level MaleFemale GraduatePost GraduateUnder Graduate Race Disability American Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderAsianWhiteHispanicBlack or African American Other ImpairmentsI do not wish to identify my disability statusMissing extremitiesHearingParalysisI do not have a disabilityI have a disability, but it is not listed Name email Institution Gender Level MaleFemale GraduatePost GraduateUnder Graduate Race Disability American Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderAsianWhiteHispanicBlack or African American Other ImpairmentsI do not wish to identify my disability statusMissing extremitiesHearingParalysisI do not have a disabilityI have a disability, but it is not listed ____________________________________________________________________________________________________________________ New Grants: Do not enter value of grants that have NOT been awarded. PI Name Funding Entity Number of Grants Submitted Number of Grants with Determination Number of Grants Awarded Value of Grants with Awarded ____________________________________________________________________________________________________________________ How many higher education course(s) have been developed using NASA-related content/support? (If zero, enter 0) Otherwise please complete the following table for "New Course Information": New Course Name New Course Number Institution/Department Number of Indirect Participants (students in the class) ____________________________________________________________________________________________________________________ How many higher education courses have been revised using NASA-related content/support? (If zero, enter 0) Otherwise please complete the following table: Revised Course Name Revised Course Number Institution/Department Number of Indirect Participants (students in the class) ____________________________________________________________________________________________________________________ Evaluation How does this activity contribute to meeting the goals and objectives of the project/agreement? ____________________________________________________________________________________________________________________ Publications and Presentations: The number of published results of research/activities directly attributed to this activity?(If zero, enter 0) Please provide the following information for each publication: Author Year Title Publication Peer Reviewed? Author Category YesNo YesNo YesNo ____________________________________________________________________________________________________________________ The number(s) of submitted manuscripts of research/activities directly attributed to this activity, but are not yet published? (If zero, enter 0) Please provide the following information for each publication: Author Year Title Publication Peer Reviewed? Author Category YesNo YesNo YesNo ____________________________________________________________________________________________________________________ How many invited papers based on research/activities directly attributed to this activity were presented? (If zero, enter 0) Please provide the following information for each publication: Title Presenter Venue ____________________________________________________________________________________________________________________ How many self-submitted papers based on research/activities directly attributed to this activity were presented at conferences that use a review process? (If zero, enter 0) Please provide the following information for each publication: Title Presenter Venue Proposals: How many proposals for additional funding (NASA and external), based on activities associated with this activity, were submitted?(If zero, enter 0) How many proposals for additional funding (NASA and external), based on activities associated with this activity, were funded?(If zero, enter 0) Title Institution Name of Funding Organization Type of funding: Private, Federal, State, Industry, etc Amount Requested Amount Received PrivateFederalStateIndustryOther PrivateFederalStateIndustryOther ____________________________________________________________________________________________________________________ Patents and Technology Transfers:How many patents, based on research/activities associated with this activity, have been applied for? (If zero, enter 0) How many patents, based on research/activities associated with this activity, have been granted? (If zero, enter 0) Please list granted patent(s) Patent Date Received ____________________________________________________________________________________________________________________ How many patent licenses, based on research/activities associated with this activity, have been issued?(If zero, enter 0) Otherwise please list: License Date Issued ____________________________________________________________________________________________________________________ How many technology transfer activities have resulted from research/activities associated with this activity? (If zero, enter 0) Otherwise please list: Activity Transfer Partner ____________________________________________________________________________________________________________________ PHOTOS OF RESEARCH WORK.(Optional) Brief (100-200 words) article highlighting the impact of the research project. Summarize the research using language that an intelligent lay audience can understand (Scientific American style). Photo specifications: High resolution, 600 dpi or over 400 KB, suitable for large high quality printing. Do not submit photos of children Identify all recognizable adults in the photo and obtain written permission for use Photos of RESEARCH, in the lab, in the field or working the project that include key research personnel are preferred over a group of researchers posing shoulder to shoulder. ____________________________________________________________________________________________________________________ [recaptcha]
