Giant Moon Map Application
ShareSpace Foundation is selecting schools and informal education organizations to which we will donate a Giant Moon Map. The purpose of this form is to provide information for the selection committee for the 2019 selection process.
Email address *
Name *
Your answer
Position (i.e. teacher, principal, etc.) *
Your answer
School/Organization Name *
Your answer
School/Organization Web site URL *
Your answer
Does your school/organization have a Giant Mars Map?
What size map best suits your needs? *
School Shipping Address (Organization, Attn: ____, Street Address, City, State, Zip Code) Please enter this as if you were preparing a shipping label. *
Your answer
Is the principal of your school (your supervisor in the case of an institution other than a school) aware of and in support of this application? *
Required
Principal/Supervisor Name *
Your answer
Principal/Supervisor E-mail Address *
Your answer
Principal/Supervisor Phone Number *
Your answer
Can your student/client population be described as underserved? If so, please provide evidence for this classification. (i.e. % of free & reduced lunch, racial or ethnic diversity, isolated location, rural, etc.) *
Your answer
Please describe how you plan to use the Giant Moon Map and the impact you expect it to have on your students. *
Your answer
Please describe how you currently assess the effectiveness of projects and materials you use with your students. *
Your answer
Are you willing to become a part of the Giant Moon Map community by sharing lesson ideas, pictures of activities, or stories of how you use the Giant Moon Map and materials? *
Required
To assist us in our efforts to measure and improve the effectiveness of the Giant Moon Map Program, are you willing to conduct and submit a short pre- and post-test with students/clients? No personally identifiable data will be collected. *
Required
Also, as a part of our efforts to measure and improve the effectiveness of the Giant Moon Map Program, are you willing to complete and submit an end-of-project summary of the uses of the map? *
Required
Are you willing to attend a training session either via Skype or in person if one can be arranged in your area? *
Required
A copy of your responses will be emailed to the address you provided.
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