Implementation Form Student Summer

Summer of Innovation #2 (Surveys)

Appendix 9-Implementation Form Student Summer_5.26

Implementation Form for Student Summer Activities

OMB: 2700-0151

Document [docx]
Download: docx | pdf

Appendix 9: Implementation Form for Student Summer Activities



Summer of Innovation Student Summer Implementation Form


The National Aeronautics and Space Administration (NASA) is conducting a national evaluation of its Summer of Innovation (SoI) Program. Abt Associates Inc. and its partner the Education Development Center have been hired to conduct this study. The goal is to explore how SoI is being implemented and assess the outcomes related to the implementation of SoI across the country.


This form is intended to document the implementation of the SoI student summer activities across the awardee sites. All SoI awarded PIs are required to designate an individual(s) to complete this form for each class (i.e., group of students who receive the same set of learning experiences from the same teacher) held at each camp (i.e., set of activities that take place in a specific location like a school or community center) this summer.


You have been asked to complete this form based on your role in the SoI student summer activities/sessions. Completing this form will help NASA understand awardees’ efforts with students during the summer. We estimate that it will take approximately 10 minutes to complete this form. Please submit this form within two weeks of the end of each class of every camp.


Privacy and Participation

Your participation in the study is voluntary and nonparticipation will have no impact on you or your SoI awardee organization. Your responses to this survey will be protected under the Privacy Act. There is minimal risk of breach of confidentiality, and we have put in place procedures to minimize this risk. You will never be identified by name, and information from the evaluation will only be reported in the aggregate.


If you wish to participate in this study please click Next.


Shape1

Next






It is intended to be filled out by the lead instructor of each class. This implementation form will help NASA understand your accomplishments with students this summer. It asks for information regarding the site, class, content, student attendance, and the provider of the activities. We estimate that it will take approximately 10 minutes to complete. Please complete this form and submit within two weeks of the end of each class of every camp.


If you have questions about this evaluation, please contact the evaluation director, Hilary Rhodes of Abt Associates Inc. at (877) 520-6840 (toll-free) or send an email to [email protected]. You may also contact the evaluation’s program officer at NASA Brian Yoder ([email protected]).


A. Site Information


SoI Camp


SoI Class



B. Class Information


Class state date


Class end date


Total contact hours


Total number of hours focused on NASA content



C. Content Information


  1. Which of the following SoI content themes spanning across all areas of NASA expertise was addressed during this class? Check one or more.

    • Engineering [IF SELECTED, ASK QUESTIONS 2a-f]

    • Life Science [IF SELECTED, ASK QUESTIONS 3g-k]

    • Earth Science [IF SELECTED, ASK QUESTIONS 4l-s]

    • Physical Science [IF SELECTED, ASK QUESTIONS 5t-x]


  1. If this class focused on an engineering theme, which of the following SoI content topics was addressed? Check one or more.

  1. ___ Aeronautics

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • What a Drag!

        • Future Flight Design

        • Lift Experiment

        • The Egg Drop Lander

        • Ring Wing Glider

        • Sled Kite

        • Future Flight Equation

        • Smart Skies

        • Connect the Wright Math

        • The X-Plane Generation

        • Rotor Motor

        • Space Shuttle Glider

  1. ___Rocketry

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Heavy Lifting

        • Air Engines

        • The Nose Cone Experts

        • Rocket Wind Tunnel Advanced High Power Paper Rockets

        • High Power Paper Rockets

        • Vectoring

        • Pop! Rockets Launcher Po! Rockets

  1. ___Robotics

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Robotic Arm

        • Hold Your Hand

        • Virtual Exploration

        • Out of Sight Remote Vehicle

        • ROVER Race

        • Heavy Lifter

  1. ___Exploration

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Roving on the Moon

        • Design a Crew Exploration Vehicle

        • Design a Lunar Transport

        • NASA Simulations

  1. ___Design & Process

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Lunar Plant Growth Chamber

        • Mars Pathfinder Egg Drop

        • Lift Experiment

        • Beginning Engineering

        • Roving on the Moon

        • Design a Landing Pod

        • Water Rocket Construction

        • Science in a Box

        • Spaghetti Anyone?

        • Balloon Powered Nanorover

        • Water Filtration

        • Design Transport Rover

  1. ___Challenges

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Electrodynamic Propulsion

        • Spacecraft Structures

        • Thermal Protection Systems

        • On the Moon Educator Guide

        • On the Moon: Touchdown

  1. If this class focused on a life science theme, which of the following SoI content topics was addressed? Check one or more.

  1. ___Body

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Bag of Bones

        • Get a Leg Up

        • How much

        • Finding Your way Around

        • How Quick are Your Responses

        • Vomit or Mucus

        • Fit Explorers Challenge

        • Mystery Pathogen

        • Vomit Comet

        • How the Vestibular System Works

        • Ocular Reflex

  1. ___Food

      • [IF CHECKED, ASK] Which of the following SoI content was used? Check one or more.

        • Classifying Space Food

        • Food Preparation for Space

        • Exploration of Human Needs

        • How much is Waste?

        • Mold Growth Planning and Serving Food

        • Ripening Fruits and Vegetables

  1. ___Life Out There?

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Afterschool Astrobiology

        • Animal Antics

        • Astroventure Biology Mission

        • Are Two Eyes Better than One?

        • Chain Game

        • What Does Life Need to Live?

        • Creature Feature

        • It’s Just Right

        • The Sun’s Habitable Zone

        • The Shape of Things & From the Outside In

        • What Can Life tolerate

        • What is Life?

  1. ___Plants

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Follow the Water

        • Have Seed Will Travel

        • Living Clocks

        • Can Photosynthesis Occur on Saturn?

        • Do Plants Prefer the Blues?

        • How do Plants Know Which Way to Grow?

        • Phototropism

  1. ___Survival

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Animals in Space

        • Chain Reaction

        • Field Trip to the Moon

        • Keeping Your Cool

        • Modeling Radiation-Damaged DNA

        • Solar Radiation and SPF Levels

        • Cool Suits

  1. If this class focused on an earth and space science theme, which of the following SoI content topics was addressed? Check one or more.

  1. ___Climate & Seasons

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • NASA Scifiles: the Case of the Ocean Odyssey

        • Habits of Mind

        • Seasonal Change on Land and Water

        • How Does the Earth’s Energy Budget Relate to Polar Ice?

        • What is the Right Answer?

        • Hydrology Investigation: Catchment Basin

        • Kinesthetic Astronomy

        • Surface Color and Effect of Temp Change

        • Is Grandpa Right, Were Winters Colder When He Was A Boy?

        • Why Do We Study Soil?

  1. ___Destination Mars

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Can We Take it With Us

        • Drive the Mars Rover

        • Getting There

        • Mars Bound!

  1. ___Earth Moon System

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Moon Math: Craters!

        • Reaping Rocks

        • Regolith Formation

        • Earth, Moon, and Mars Balloons Activity

        • The Coriolis Effect

        • Where Do We Choose to Live and Why?

  1. ___Planetology

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Follow the Falling Meteorite

        • Searching for Meteorites

        • Lava Layering

        • Atmospheric, Geology and Design a Planet

        • What Makes a World Habitable

  1. ___Remote Sensing

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Earth+

        • Paint by Numbers

        • Finding Impact Craters

        • Quantifying Changes in the Land Over Time

  1. ___Weather

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Does Air have Weight?

        • Does Cloud Type Affect Rainfall?

        • S’Cool

        • How Much Water is Available in the Atmosphere

        • The Heat is On

        • Museum in a Box: Weather to Fly By

        • Temperature of Air Has an Effect on Its Weight?

  1. ___Year of the Solar System

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Comet on a Stick

        • Cooking Up a Comet

        • Earth-Mars Comparison

        • Exploring Planet Sizes

        • Walking Planet Distances

        • Earth vs. Mars

        • Solar System Missions

        • Solar Pizza

        • Make a Comet and Eat It

        • Space Rocks!

        • United States at Night

        • Vegetable Light Curves

        • Solar System Simulator

  1. ___Universe

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Count Your Lucky Stars

        • Cycles in the Cards

        • Detecting Planet Transits

        • Space Weather Action Centers

        • Elements & You

        • Hubble Deep Field

        • Stellarium

        • Zooniverse

        • Light Pollution Star Count

        • What’s Out There?

        • Stories in the Sky

        • Astroventure Geology Mission

  1. If this class focused on a physical science theme, which of the following SoI content topics was addressed? Check one or more.

  1. ___Aeronautics

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Bag Balloon

        • Beginners Guide to Aeronautics

        • Controlling the Plane

        • Bernoulli and More Bernoulli

        • Four Forces of Flight

        • Jet Propulsion

        • Air Foils

  1. ___Force & Motion

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • 3..2..1 Puff

        • Accelerometers

        • Aerogel-lo

        • Balloon Staging

        • Collisions

        • Foam Rocket

        • Newton Care

        • Pop Can Hero Engine

        • Pop! Rockets

        • Potato Astronaut

        • Racing Against Friction

        • Rocket Pinwheel

        • Rocket Races

        • Museum in a Box: Ball Launcher

  1. ___Wave & Optics

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • What’s the Frequency Roy G.Biv?

        • Wavelength and Energy

        • Space Operations Learning Center

        • Sources and Detectors

        • Simple Spectroscope

        • Simple Magnifiers

        • Red Shift, Blue Shift

        • Constructing a Spectroscope

        • Amazing Rays

        • Investigating Ice Worlds

  1. ___Properties of Matter

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • 3-2-1 Pop!

        • Antacid Tablet Race

        • Heat an Agent of Change

        • Liquid Rainbow

        • Potato Float

        • Robotics Lesson Plans: What’s Hidden Inside

        • Radiation Exposure on Earth

        • Student Glove Box

        • Supernova Chemistry

        • The Nature of Salt

        • Tracking a Solar Storm

        • Museum in a Box: Composites and other Aerospace Materials

  1. ___Gravity

      • [IF CHECKED, ASK] Which of the following SoI content lessons was used? Check one or more.

        • Falling Weight Apparatus

        • Fluttering Fun, Point of Balance

        • Heavy Lifting

        • Inertial Balance

        • Marble Run

        • Mass vs. Weight

        • Pendulums

        • Shoot a Cannonball Into Orbit

        • Spaced Out Sports

        • Toys in Space

D. Attendance


Total number of students enrolled in class


Total number of students present at the start of class


Total number of students present at the end of class


Number of students who did not complete the class



If last question not zero:

Reason(s) students did not complete the class session, if known (check all that apply):

Scheduling conflict/Alternative summer plans

Asked to leave because of behavioral issues

Transportation issues

Lack of interest

Other, please specify:


E. Educators who implemented the camp session


Number of classroom teachers



+

Number of informal educators



+

Number of others (e.g., undergraduate students)



=

Total number implementing the class



Number of classroom teachers in class who also attended a PD session


Number of informal educators in class who also attended a PD session




Comments:









File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJan Nicholson
File Modified0000-00-00
File Created2021-01-31
© 2024 OMB.report | Privacy Policy