Giant Mars Map Application

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ShareSpace Foundation is selecting schools and classrooms to which we will donate a Giant Mars Map. The purpose of this form is to provide information for the selection committee for the 2020-2021 selection process.

Email *

Name *

Position (i.e. teacher, principal, etc.) *

School Name *

School Shipping Address (Please use this format: School Name, Attn: contact name, Street Address, City, State, Zip code) *

What size Giant Mars Map do you prefer? *

25' x 25'

15' x 15'

Has your district been the recipient of a Giant Mars Map or Giant Moon Map in the past? *

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? *

Yes

Required

Principal's Name *

Principal's E-mail Address *

Principal's Phone Number *

Name of nearest airport served by a major air carrier *

Please describe your target audience for the giant map. Can your student 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.) *

Please describe how you plan to use the Giant Mars Map and the impact you expect it to have on your students. *

Please describe how you will assess the effectiveness of your use of the giant map. *

Are you willing to become a part of the Giant Mars Map community by sharing lesson ideas, pictures of activities, or stories of how you use the Giant Mars Map and materials? *

Yes

Required

To assist us in our efforts to measure and improve the effectiveness of the Giant Mars Map Program, are you willing to conduct and submit a short pre- and post-test with your students? No personally identifiable student data will be collected. *

Yes

Required

Also, as a part of our efforts to measure and improve the effectiveness of the Giant Mars Map Program, are you willing to complete and submit an end-of-project summary of the uses of the map? *

Yes

Required

Are you willing to attend a training session either via Skype or in person if one can be arranged in your area? *

Yes

Required

Send me a copy of my responses.

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