MSIP Online Application

NASA and Arizona State University's Mars Education Program is offering students nationwide the opportunity to be involved in authentic Mars research by participating in the Mars Student Imaging Project (MSIP). Teams of students in grades 5 through college sophomore level will have the opportunity to work with scientists, mission planners and educators on the THEMIS team at ASU's Mars Space Flight Facility, to image a site on Mars using the THEMIS visible wavelength camera onboard the Mars Odyssey spacecraft which is currently orbiting Mars every 2 hours.

Lead Adult Facilitator

Information about the Lead Adult Facilitator

Name: *

Name of the LEAD ADULT FACILITATOR

E-mail: *

Email of Lead Adult Facilitator

School/Oganization

Information Regarding the School or Organization

Name: *

Name of the School or Organization

Address: *

Address of the School or Organization

City/State: *

City and State of School or Organization

Zip/Postal code: *

Zip or Postal code of the School or Organization

Phone: *

Phone Number of School or Organization

Fax: *

Fax number of School or Organization

MSIP Group

What type of student group do you envision for your team participation in MSIP? (i.e. classroom, entire grade level, entire school, science club, study group, etc.)? Please include an approximate number of students on your team.

Group Type: *

MSIP Format: *

On-site

Distance-learning

Archived-data

Please check the formats for the activities in which you are interested in participating:

Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year20102011201220132014

MSIP training will be conducted year-round. If your MSIP team is interested in the on-site or distance-learning formats and there are particular dates that may be convenient for participation, please indicate these dates. These dates will get finalized as the MSIP requirements are being met. For our information, please indicate a possible month/date in which you feel you may begin working with the Mars Student Imaging Project curriculum.

Please write a brief description as to why your team is interested in being involved in the Mars Student Imaging Project: *

Lead Facilitator Aknowledgement: *

Date: *

Grade Level of MSIP Team: *

Number of Students Participating:

Underserved/Underrepresented Demographics

School Type:

Rural

Inner City

Other

Type of demographics that best describes your school:

Number of Females:

Approximate number of female students on your team:

Number of Minorities:

Approximate number of minority students on your team:

Word verification: * (verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.