Higher Education Report Form

Higher Education Report Form
FOR GRANTS AWARDED AFTER JANUARY, 2022, PLEASE DO NOT USE THIS REPORT FORM.

Please log into your InfoReady accout using the email used to create your application and select "Progress Reports" from the main menu to complete your report before your due date. Reports created in Jotform will be asked to be redone in the correct platform and format.
Faculty Travel Grants, Internships (Industrial, Technical and Educational), Workshops (i.e. Rock On), CC Quadcopter Challenge
I am a....*

StudentFaculty
Your Name*

First NameLast Name
Pro-Sum Number (if applicable):
Award Type:*
Award Amount:*
Project Title:*
Project Description:*
Period of Performance:*
Institution*
Official Affiliate Email Address:*
Phone Number*

Area CodePhone Number
Permanent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you previously attended the Grants Expo for this award?*

YesNo
What year did you attend the expo?*

New and Revised Courses

If your project included higher education course development during the period of this report, please answer the following questions:
How many higher education course(s) have been developed using NASA-related content/support? (if zero, enter 0)*
How many higher education course(s) have been revised using NASA-related content/support? (if zero, enter 0)*
If courses have been created or revised, please provide the following information: (please scroll)*
Please enter the total number of participants reached via this activity, in the table below, and indicate their activity type. (A participant is a person who benefited from or took part in project activities but did not receive direct funding "Indirect").

Utilize the Defined Terminology and Activity Types document to properly complete the table.

	Direct Interaction	Indirect Interaction	Direct & Indirect & Unique Virtual Paricipants	Indirect Virtual Participants	Activity Type
A. Pre-Service Teachers
B. Higher Education Faculty
C. Undergraduate*
D. Graduate*
E. Post-Doctoral*
F. Community College Students*

If "other" was selected for an Activity Type, please elaborate (If "other was not selected, enter "n/a"):*
For all persons accounted for in categories C-F above, please complete the below table. All persons listed in this section should submit a Direct Participant Form (available on our website).*
Direct Funded: Please enter the total number of direct student participants who received monetary support (regardless of the amount). *
This should be a subset of the total Direct Student Participants recorded in the table above. Direct funded student participants do not include recipients of reimbursements (i.e. travel, supplies, meals, etc...)

Faculty/Researcher Participant Information: Please enter the number of Faculty/Researcher participants by institution type. *

	Number of Faculty/Researcher Participants
Higher Education/College
K-12
Other (Explain)
Total

NOTE: Faculty/researcher participants encompass faculty (tenure and non-tenure), researcher, participant, research assistant, and staff.

Project Summary and Impact
Please provide a paragraph detailing your grant work and how this grant has impacted your career. In addition, please include any available photographs detailing your grant work. These can be attached as pdf’s or jpeg’s below. The project summary and submitted photographs may be posted on our website and/or be used in our newsletter.
Please comment on the impact of this project/research/award on your personal/professional/academic career. *
Project Summary:*
E-Poster:

Browse Files
This is required upon completion of your grant. If you do not submit your poster here, please email it to our office as soon as possible at ctsgstaff@hartford.edu. Cancelof
Pictures:

Browse Files

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Longitudinal Tracking
Expected Graduation Date from Current Institution for Present Degree (ie. Associate, Bachelors, Masters, etc)*

MonthDayYear
Institution*
Degree Pursuing*
Area of Study*
Your Next Step: Please select the appropriate category. Indicate where or to what company/institution your next professional and/or academic step will take you.*

Still Enrolled in Current RequirementsGraduated and Pursuing Advanced DegreePost-Graduation Employment
Employment Type*

Seeking STEM EmploymentEmployed in STEM (Aerospace) PositionEmployed by NASA/JPLEmployed in STEM Academic FieldEmployed in K-12 STEM Academic FieldNon-STEM Employment
Place of Employment*

NASA New Technology Report (NTR) Compliance
Please indicate below if you have new technology and if you have reported new technology to NASA from your funded project.*

I have read through the detailed guidelines to report New Technology from the NASA link you provided below, and I have reported new technology involved in my project to NASA.I have read through the detailed guidelines to report New Technology from the NASA link you provided below, and I have NO new technology to report.
Detailed guidelines can be read through here: https://invention.nasa.gov/

Faculty Information