Kentucky NSF EPSCoR External Engagement Reporting Form
All KY NSF EPSCoR participants are required to report basic information about their various outreach and external engagement activities.

All KY NSF EPSCoR participants can report these activities (faculty, students, staff, etc.)

Reported activities are NOT limited to only those receiving financial supported from KY NSF EPSCoR. We encourage reporting from all participants' STEM outreach and external engagement activities regardless of event funding source.

Examples of activities reported in prior years:

· Hosted science fairs or camps
· Community science projects
· Institutional “engineering days” activities or other institutional open houses
· STEM educational video/materials production
· Science mentoring visits and projects
· K-12 school visits and tours
· KY NSF EPSCoR Education Outreach and Communication (EOC) award activities
· KY Girls STEM Collaborative award activities
· Hosted science workshops and seminars
· STEM presentations and posters

If you have any questions about reporting, please contact Jeff Mossey at epscor@uky.edu.

First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Event Name
Your answer
Event Location
Please include information about the facility and city/state in which the event was hosted.
Your answer
Event Date
Only report activities taking place on or after April 1, 2016.
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Event Description
Your answer
Participant Demographics (Faculty)
How many teacher (faculty) participants were involved in this event?
Your answer
Of those faculty participants, how many were female?
THIS QUESTION IS OPTIONAL. If participants did not report their gender and/or ethnicity, include them in the total participants count, but do not include them in the Male/Female or Underrepresented Minority totals.
Your answer
Of those faculty participants, how many were underrepresented minorities?
THIS QUESTION IS OPTIONAL. Underrepresented minorities include ONLY Alaska Natives, Native Americans, Blacks or African American, Hispanics, Native Hawaiians and other Pacific Islanders, and Persons with Disabilities. If participants did not report their gender and/or ethnicity, include them in the total participants count, but do not include them in the Male/Female or Underrepresented Minority totals.
Your answer
Participant Demographics (Students)
How many student participants were involved in this event?
Your answer
Of those student participants, how many were female?
THIS QUESTION IS OPTIONAL. If participants did not report their gender and/or ethnicity, include them in the total participants count, but do not include them in the Male/Female or Underrepresented Minority totals.
Your answer
Of those student participants, how many were underrepresented minorities?
THIS QUESTION IS OPTIONAL. Underrepresented minorities include ONLY Alaska Natives, Native Americans, Blacks or African American, Hispanics, Native Hawaiians and other Pacific Islanders, and Persons with Disabilities. If participants did not report their gender and/or ethnicity, include them in the total participants count, but do not include them in the Male/Female or Underrepresented Minority totals.
Your answer
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