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MARS MAILING LIST
EJ Brown Distance Learning Proposal
Date:
Fri, 04/05/2013 -
10:30am
to
11:15am
Lead Adult Facilitator
Information about the Lead Adult Facilitator
First Name
*
Name of the LEAD ADULT FACILITATOR
Last Name
*
Name of the LEAD ADULT FACILITATOR
E-mail
*
Email of Lead Adult Facilitator
Primary Phone Number
*
Phone Number of Adult Facilitator
School/Oganization
Information Regarding the School or Organization
School Name
*
Name of the School or Organization
School Address
*
Address of the School or Organization
City
*
City of School or Organization
State
*
State of School or Organization
Zip/Postal code
*
Zip or Postal code of the School or Organization
School Phone
*
Phone Number of School or Organization
Area Information
Rural
Urban
Suburban
MSIP Group
Which of the following best describes your team type?
Team Type
*
Class
Science Club
Entire Grade Level
Home School
Entire School
Post-Secondary
Grade Level of MSIP Team
*
Number of Students Participating
*
MSIP Format
*
Distance-learning
Independent-Research
Go to MSIP Activity Formats
Date you intend to start
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
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11
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13
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31
Year
Year
2022
2023
2024
2025
2026
MSIP training will be conducted year-round. If your MSIP team is interested in the distance-learning format 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.
Last Day of School
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2022
2023
2024
2025
2026
Please write a brief description as to why your team is interested in being involved in the Mars Student Imaging Project
*
How Did You Hear About the Mars Student Imaging Project? (Please select all that apply)
Educator Workshop
ASU Hosted Public Webinar
Twitter
JPL Website
Facebook
Friend
News Story
NASA-Listserv
Other...
How Did You Hear About the Mars Student Imaging Project? (Please select all that apply) Other...
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