Outreach Program Application Form
Team number:_______________
Team School/Organization:_______________
Index of Outreach Activities (print out additional sheets if necessary)
Activity
Brief Description
Date(s) of
Activity
Documentation
enclosed?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Adult Concurrence: As the adult supervisor or mentor for this team I verify that the students on
the team performed the above activities as stated.
Adult Name:
Adult Signature:
In 500 words or less, summarize your outreach efforts, addressing each of the four
judging criteria (Quality, Reach, Impact, and Creativity). Please attach separately.
Submit no later than March 4, 2016 to either rocketcontest@aia-aerospace.org or by mail to
Miles Lifson, Aerospace Industries Association, 1000 Wilson Blvd., Suite 1700, Arlington,
Virginia 22209 USA
Outreach Program Application Form
Additional information for specific events (print out additional sheets if necessary)
You do not need to fill this out for all activities, but should do so if you would like to
convey information about an activity not contained in your index of activities or your
documentation.
Activity
Quality
Reach
Impact
Creativity
1
2
3
4
5
Submit no later than March 4, 2016 to either rocketcontest@aia-aerospace.org or by mail to
Miles Lifson, Aerospace Industries Association, 1000 Wilson Blvd., Suite 1700, Arlington,
Virginia 22209 USA