Artemis ROADS II: Authorizing Officials Information and Contract Feedback Form

Central Washington University (CWU) in Ellensburg, WA, which administers the NASA grant supporting NESSP, requires contracts for this year’s NESSP’s National Student Challenge due to liability concerns and Washington state laws for youth programs. This short form collects the additional information needed to complete this contract.

You can review an example contract and associated documents by clicking this link. Do not download and complete this contract. It will be emailed directly from CWU’s Contracting Manager to your organization’s Authorizing Official.

You can preview and download the Assumption of Risk and Release of Claims form. You can start collecting these forms. NESSP will ask you to upload forms for your team in the Injection Burn Initial Submission, due on January 31st, 2024.

If your team needs supplies, please promptly provide the information below. We will ship your team’s supplies as soon as the contract is completed. The deadline for submitting this information is January 30th, 2024.

Primary Mission Advisor's Name *

Primary Mission Advisor's Email *

Team Number(s) assigned when you registered to be a Mission Advisor.

Each main Mission Advisor must complete this form, even if another educator from the same organization has already filled it out. However, individual Mission Advisors overseeing multiple teams only need to fill out this form once.

Organization's name, or the full name of individual if individual is not associated with any organization *

Organization's physical address or mailing address, or the address of the individual if individual is not associated with any organization *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Authorizing Official Name *

For schools or larger youth/community organizations, the Authorizing Official is likely a Principal, Superintendent, or an official in the business office. If you are representing a smaller youth club or homeschool, you may be able to sign on behalf of your organization.

Authorizing Official Title *

Authorizing Official Email Address *

Authorizing Official Phone (if available)

Do you have a clear criminal history background check file personally or with your organization? These types of background checks are usually completed by filling out an online form.

Yes
No
Unsure

Do you have a clear FBI fingerprinting background check on file personally or with your organization? Fingerprint checks normally have to be completed at a government office.

Yes
No
Unsure

(Optional) Do you have any concerns regarding the background check requirement? If so, please provide details below.

(Optional) Do you have any concerns regarding the proof of insurance requirement? If so, please provide details below.

(Optional) Please share any other concerns or feedback on the required contracts.

Artemis ROADS II: Authorizing Officials Information and Contract Feedback Form

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