Informal Education Grant Application

Informal Education Grant Application
Indicate type of application: *

Project/Event Internship
Project/Event or Internship Title: *
Project/Event or Internship Description: *

Maximum 250 words 0/250
Which NASA Mission Directorate does your project align with best? *

Aeronautics Mission Directorate (ARMD) Human Exploration Mission Directorate (HEO) Space Technology Mission Directorate (STMD) Science Mission Directorate (SMD) Office of STEM Engagement

Project/Event Activity or Internship Details:
Proposed Period of Performance *
Expected duration: *

Short Event ( Long Event (>2 Days) Multi-Month (Semester/Quarter) Year-Long (12 Months)
Name of Location: *
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Enter the anticipated number of participants that will participate in project/event or benefit from internship: *

Count

K-12 Teachers

K-12 Students

Higher Education

Other Community Members

Describe the involvement of K-12, higher education, and other community members in this project/event or internship (if applicable): *
Provide a timeline for this project/event or internship: *
Upload Completed Appendix A: Budget *

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Complete budget (see Appendix A below) and include a brief narrative of expenditures and in-kind contribution(s). Please note: the budget should provide at minimum a 1:1 match (direct or in-kind) (e.g., if you are requesting $500 in funding, a minimum $500 match should be provided by organization): *
Other (Optional)

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Signature:
*

By checking this box, I acknowledge that the contents of this application and any attached documents is true and accurate to the best of my knowledge
Applicant Signature: *

First Name Last Name
Date: *

Month Day Year
Date

Applicant Contact Information: