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The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.
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This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display
a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0159 and expires 09/30/2024.
K-12 teacher
Pre-service Teacher or college student K-12 administrator
K-12 instructional coach or district level support staff
Informal or out-of-school educator (museum, club, science center, etc.) College or university faculty
Administrator for a state department of education Administrator for an informal education setting Professional development provider
Other (please
specify)
Educator using NASA resources in K-12 classroom
Educator using NASA resources in an out-of-school program or informal setting
Higher education faculty using NASA resources in my coursework or outreach programs Administrator in a school or other organization where NASA resources are used
My primary role with is to work directly with students delivering NASA STEM Engagement resources/program content. I occasionally work directly with students using NASA STEM Engagement resources.
I do not work directly with students.
What is your gender?
Female Male
Do not wish to provide
Hispanic or Latino
Not Hispanic or Latino Do not wish to provide
American Indian or Alaskan Native Asian
Black or African American
Native Hawaiian or Other Pacific Islander White
Do not wish to provide
What subject(s) do you primarily teach or work with using the NASA STEM activity, resource, and/or program? (Select all that apply)
Science Mathematics Social Studies
English/Language Arts Music/Arts
Physical Education/Health
All subjects (self-contained elementary school) Other (please specify)
K 1
2
3
4
5
6
7
8
9
10
11
12
0-5
6-10
11-20
21-30
31+
Rural Urban Suburban
Please indicate your level of agreement with the following statements:
How would you rate your familiarity with NASA educational resources?
Not familiar
Somewhat familiar Very familiar
Website
My school or district NASA Center personnel
NASA or other professional development
Teacher education program at a college or university State agency or STEM network
Professional
organization Other (please
specify)
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
Females are well
represented
in NASA
resources.
NASA K-12 STEM
resources meet the
needs of learners of varying ability and skill
levels.
Very poor Poor Neutral Good Outstanding
Yes No
Lesson plans/curriculum Videos
Guest speakers Website
Virtual field trips
In person field trips to NASA center Teacher Professional development NASA competitions for students Museum exhibits
Outreach programs Other (please specify)
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
It is easy to incorporate
NASA
resources into
the
curriculum I
use.
NASA resources are useful for teaching
students about space
exploration
and space science.
Yes No
Yes No
Yes No
Yes No
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Much Less Interested Less Interested About the Same Before and After More Interested Much More Interested
Did
Not Experience Not
At All Very
Little Somewhat Very
Much
NASA K-12 lesson plans/activities
NASA
student programs
NASA mission coverage
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly Disagree Disagree Agree Strongly Agree
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
Strongly disagree Disagree Neither agree or disagree Agree Strongly agree
More content for K-2nd grade students More content for 3rd-5th grade students More content for 6th-8th grade students More content for 9th-12th grade students More life science content
More Earth science content More physical science content More mathematics content More engineering content More technology content
More standards-aligned content More hands-on content
More competitions
More opportunities to bring NASA guest speakers to the classroom More professional development opportunities for educators
More support in integrating NASA content into curriculum More bilingual content
Other (please specify)
File Type | application/zip |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |