Indiana Space Grant Consortium
NASA OEPM System Reporting
Research Infrastructure and Higher Education 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:
PI 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
PROJECT INFORMATION
Project Description (brief paragraph):
Results Obtained (brief paragraph):
Evaluation (what methods were used to evaluate effectiveness and what were the
results, paragraph):
Page 1
Research Infrastructure and Higher Education Report (Continued)
3.
COLLABORATIVE EFFORTS (Select all that apply.)
In Same Department
Other Departments in Same Institution
Other Institution of Higher Education
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. Other Participating Faculty Demographics
Faculty Name #1:
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
Veteran:
Yes
No
Faculty Name #2:
Gender, Race, and Ethnicity: (Select one response for each category.)
Gender:
Male
Female
Ethnicity:
Hispanic/Latino
Non Hispanic/Latino
Page 2
Research Infrastructure and Higher Education Report (Continued)
Race:
American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
White
Other
Disability:
Yes
No
Veteran:
Yes
No
B. Student Demographics
Student Name #1:
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
Veteran:
Yes
No
Student Name #2:
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
Page 3
Research Infrastructure and Higher Education Report (Continued)
Disability:
Yes
No
Veteran:
Page 4
Yes
No
Provide additional student participants and indicate Gender, Ethnicity, Race, and
Disability status:
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, waiver of indirect or Facilities and Administrative rate, waiver of student
tuition, laboratory usage, contributions received from other sources, equipment supplied
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 OSGC:
Description of Cost Share
Amount
$
$
$
$
$
$
$
$
$
$
$
Total* $
*Note that cost sharing total must be equal to or greater than the INSGC funding
received.
Research Infrastructure and Higher Education Report (Continued)
6.
Page 5
RESULTS
If applicable, provide the following information about the results of your project:
A. List any new Website Development (Based on support by INSGC Grant).
URL:
B.
List any new Higher Education Courses that were Created Using NASArelated Content (Based on support by INSGC Grant).
Course Number:
Course Title:
Brief Description:
Location:
Date of Implementation:
C.
List any Higher Education Courses that were Revised Using NASA-related
Content (Based on support by INSGC Grant).
Course Number:
Course Title:
Brief Description:
Location:
Date of Implementation:
D.
List any Authors who have published Results of Research/Activities (Based
on support by INSGC Grant).
Citation:
Citation:
Citation:
Citation:
Research Infrastructure and Higher Education Report (Continued)
E.
Page 6
List any Authors who have submitted Manuscripts of Research/Activities
(Based on support by INSGC Grant).
Citation:
Citation:
Citation:
Citation:
F.
List any Invited Papers that were presented of Research/Activities (Based on
support by INSGC Grant).
Description:
Description:
G. List any Self-Submitted Papers that were presented at a Conference that use
a Review Process of Research/Activities (Based on support INSGC Grant).
Title of Paper:
Name of Conference:
Location of Conference:
H.
List any Patents that have been Applied For of Research/Activities (Based on
support by INSGC Grant).
Number(s):
Date(s) of Application:
I.
List any Patents that have been Granted of Research/Activities (Based on
support by INSGC Grant).
Number(s):
Date(s) of Application:
J.
List any Patent Licenses that have been Issued of Research/Activities (Based
on support by INSGC Grant).
Number(s):
Date(s) of Issue:
Research Infrastructure and Higher Education Report (Continued)
K.
Page 7
List any Technology Transfer Activities that have resulted of
Research/Activities (Based on support by INSGC Grant).
Brief Explanation:
Date Implemented:
L.
List any Student Thesis or Dissertation Defense (Based on Results Obtained
through INSGC Support).
Student Name #1:
Major:
Title of Dissertation (Master’s or Ph.D.):
Citation:
Citation:
Student Name #2:
Major:
Title of Dissertation (Master’s or Ph.D.):
Citation:
Citation:
M. List any Other Proposals Submitted to NASA or Other Organizations (Based
on Research/Activities supported by INSGC Grant).
Organization Name:
Funding Request:
$
Organization Name:
Funding Request:
$
Research Infrastructure and Higher Education Report (Continued)
N.
Page 8
List any Other Proposals Submitted to NASA or Other Organizations that
were Supported (Based on Research/Activities supported by INSGC Grant).
Organization Name:
Funding Amount:
$
Organization Name:
Funding Amount:
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:
8. “Success Story” - Provide any relevant details to student or faculty
participation in INSGC supported Research/Activities that may be considered
a notable achievement:
9.
Other Comments
Research Infrastructure and Higher Education Report (Continued)
Page 9
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)
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