Indiana Space Grant Consortium
NASA OEPM System Reporting
Pre-College Report
Project Name:
Project Start Date:
Project End Date:
Total Space Grant Funding Received: $
1.
PRINCIPAL INVESTIGATOR (PI) INFORMATION
Name (PI):
Institution:
Street Address:
City:
Contact Phone:
Email Address:
State:
IN
Zip Code:
Gender, Race, and Ethnicity: (Select one response for each category.)
Gender:
Male
Female
Ethnicity:
Hispanic/Latino
Non Hispanic/Latino
Race:
American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
White
Other
Disability:
Yes
No
2.
Veteran:
Yes
No
ACTIVITY/PROJECT INFORMATION
Brief Description (1-2 paragraphs):
Results Obtained (1-2 paragraphs):
Evaluation (what evaluation methods were utilized to determine effectiveness and what
were the results; 1-2 paragraphs):
Precollege Report (Continued)
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If applicable, provide the following information about your Activity/Project:
A.
Was the Activity/Project Exclusively Targeted toward Middle School
Educators?
B.
Was the Activity/Project Exclusively Targeted toward Middle School
Students?
C.
Was the Activity/Project in support of the NASA Summer Of Innovation (SOI)?
D.
Was the Activity/Project in support of Professional Development for Teachers
(less than 2 days in length)?
E.
Was the Activity/Project in support of Professional Development for Teachers
(more than 2 days in length)?
F.
Was the Activity/Project Student-based (Short Duration, less than 2 days in
length)?
Precollege Report (Continued)
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G. Was the Activity/Project Student-based (Long Duration, greater than or equal
to 2 days in length)?
3.
COLLABORATIVE EFFORTS (Select all that apply.)
In Same Department
Other Departments in Same Institution
Other Institution of Higher Education
NASA Center
Community College
K-12 Institution(s)
Teacher Resource Centers
Non-Profit Organizations
Underrepresented Organizations
Industry*
Community Partnership
*Provide name of business and type of industry and describe collaboration:
4.
PARTICIPANTS
A.
Provide Data regarding the total number of Direct Participants that were
supported in the Activity/Project.
In-service Educators:
Pre-service Educators:
Informal Educators/Museum Staff:
Pre-college Students:
Administrators:
Parents/Guardians:
Higher Education Students (Non Pre-service):
Higher Education Faculty:
Public At Large:
Other Adult:
Other*:
*Description of Other:
Precollege Report (Continued)
Page 4
B.
Describe the involvement of Higher Education Students and Faculty that were
supported in the Activity/Project. Enter N/A if Not Applicable.
5.
COST SHARING INFORMATION
Provide your matching funds for cost-sharing purposes which must be equal to or
greater than the INSGC funding received. Matching funds can be either cash and/or
in-kind funds (i.e., dollar estimate of the Principal Investigator’s time including fringe
benefit rate, transportation provided, printing/photocopies, contributions received from
other sources, equipment/supplies provided by other sources, volunteer time, etc.)
What is Cost Sharing? Cost sharing or matching means that portion of project or
program costs not borne by the funding agency. It includes all contributions, including
cash and in-kind, that a recipient makes to an award. If the award is federal, only
acceptable non-federal costs qualify as cost sharing and must conform to other
necessary and reasonable provisions to accomplish the program objectives. Cost
sharing effort is included in the calculation of total committed effort. Effort is defined as
the portion of time spent on a particular activity expressed as a percentage of the
individual's total activity for the institution (accounting.ucdavis.edu/costshare/whatis.cfm)
Total Funds Received From INSGC:
Description of Cost Share
Amount
$
$
$
$
$
$
$
$
$
$
$
Total* $
*Note that cost sharing total must be equal to or greater than the INSGC funding
received.
6.
RESULTS
If applicable, provide the following information about the results of your Activity/Project:
Precollege Report (Continued)
A.
Page 5
Are evaluation mechanisms in place which demonstrates that your
Activity/Project quantitatively contributes to the STEM pipeline (i.e., Science,
Technology, Engineering and Mathematics Pipeline Community: The students who
will one day pursue careers in STEM fields, the educators who prepare them, the
parents who encourage, professionals who inspire, and the industries that hire)
Yes
No
Not Applicable
If yes, provide a brief description:
B.
Are evaluation mechanisms in place which demonstrates that your
Activity/Project utilized NASA materials/knowledge/experience in your
classroom?
Yes
No
Not Applicable
If yes, provide a brief description:
7.
Indicate which of the INSGC Goals/SMART Objectives your
Research/Activities incorporates (See INSGC SMART Objectives document
https://engineering.purdue.edu/INSGC/Affiliates/SMART_Objectives.docx):
Description:
Precollege Report (Continued)
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8. “Success Story” - Provide any relevant details to student or faculty
participation in an INSGC supported Activity/Project that may be considered a
notable achievement:
9.
Other Comments
Please describe how your project relates to the following NASA Office of
Education Outcomes:
NASA Education Outcome 1 – Higher Education: Contribute to the development of
the science, technology, engineering, and mathematics (STEM) workforce in disciplines
needed to achieve NASA’s strategic goals (Employ and Educate)
NASA Education Outcome 2 – Elementary and Secondary Education: Attract and
retain students in STEM disciplines through a progression of educational opportunities
for students, teachers, and faculty (Educate and Engage)
Precollege Report (Continued)
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3. NASA Education Outcome 3 – Informal Education: Build strategic partnerships
and linkages between STEM formal and informal education providers that promote
STEM literacy and awareness of NASA’s mission (Engage and Inspire)
Please submit this form and any accompanying documents to INSGC via email to:
insgc@purdue.edu
If you have any questions or concerns, please contact the INSGC Office at
insgc@purdue.edu or by phone at (765) 494-5873