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STEMmap Resource Submission
The NeoSTEM Ecosystem, supported by TIES, is collecting information about STEM programs that are operating throughout the Northeast Ohio region. We will share this information with families, educators and others in an attempt to give students access to meaningful STEM learning opportunities, including those that are virtual or held in-person. If you have multiple programs, please create a new submission for each program.
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* Indicates required question
Email
*
Your email
Organization Name
*
Please provide the name of your organization.
Your answer
Address
Your answer
City
Your answer
Zip
Your answer
Name of Person Completing Form
Your answer
Title
Your answer
Email
Your answer
Names of Schools Served in 2019-2020 (if any)
Your answer
Do you Use a Virtual Platform - If Yes, Please specify Which One
Your answer
Are You Planning to Offer Virtual or In-Person Programming in the Fall
Both - Virtual and In-Person
Virtual only
In-Person Only
Other:
Clear selection
Will Your Programming Be Offered at Your Facility or in a Particular Community.
Both In the Community and at Our Facility
At Our Facility Only
Other:
Clear selection
Have You Developed Special Safety Measures to Deal with Covid-19?
*
Please provide the name of your STEM-related event/program.
Yes
No
Other:
If You Have Special Safety Protocols, Please Describe Them
Your answer
When Will Your Programming Be Offered
If you responded with "In-Person" above, please provide the location, complete with an address and ZIP code. e.g., "1 Example St, City, 12345".
After School
Before School
During the Day
Clear selection
Please Select All Grade Levels You Will Be Serving
PreK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
Clear selection
Please Describe Your Capacity to Serve Students. (How many can you serve and do you anticipate that your capacity will increase?)
Your answer
Please Select All Areas That Your Program Addresses
Health and Wellness
Social Emotional Learning
General Academics
Arts Education
STEM/STEAM
Mentoring
English Language Learners
Early Childhood Education
Family Engagement
Career and College Readiness
Other:
Do You Offer Parent and/or Family Programming
Yes
No
Other:
Clear selection
Please Offer a Description of the Parent Programming
Your answer
Please Describe Your Capacity to Offer Academic Enrichment Training - if Needed
Your answer
Who Leads Your Program
Staff
Volunteers
Professional Teachers
Other:
Clear selection
Is your program a one-time or recurring event/ongoing series?
*
Single-time event
Recurring event
Date(s) and Time(s)
*
Please provide the date(s) and time(s) of your program. If your program is a recurring event/ongoing series, please be sure to include a comma between each different date. e.g., "07/20/2020 10:00 AM - 12:00 PM", "07/20/2020 10:00 AM - 12:00 PM, 07/28/2020 12:00 PM - 2:00 PM".
Your answer
Cost
*
How much does your program cost? Be sure to include a "$" in your response; e.g., "$15", "$74.99", "$0".
Your answer
Link to Program
*
Paste the link to the resource's web page or an online site describing the program.
Your answer
Area(s) of Interest
If applicable, provide tags that give a brief description of the resource; e.g., "Robotics", "Chemistry", "Engineering", etc. Please include a comma between each tag; e.g., "Robotics, Chemistry, Engineering".
Your answer
Goals
Please provide any goals of your program below. What can students expect to accomplish or learn by engaging with your program?
Your answer
Other - Is there anything else that you would like to share about your program?
Your answer
Send me a copy of my responses.
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