Mini-Mission Application and Information Request

Your name *

Email *

Confirm Email

About your organization

Please tell us about the organization you're affiliated with.

Name of Organization or School *

Please list your organization and town/state.

About your students

Please tell us about the students you work with.

Grade level(s) *

Upper Elementary
Middle school / Junior high
High school

City, State, and Zip Code

Demographics

Please tell us, to the best of your ability, about the demographics of the students your organization serves. All fields are required (even if 0).

Percent of students who are blind / visually impaired *

Percent of students who are girls *

Percent of students who are nonbinary *

Percent of students who are American Indian &/or Alaska Native *

Percent of students who are Native Hawaiian *

Percent of students who are Black / African American *

Percent of students who are Hispanic &/or Latinx *

Percent of student population eligible for free or reduced lunch *

What is the estimated number of students that will attend your mini-mission? *

Approximately how many students do you anticipate for your mini-mission?

Mini-mission Selection

This summer NESSP is offering two week-long mini-missions. Please see nwessp.org/mini-missions for detailed information. If you chose the James Webb Mini-Mission, we hope you tie it to a virtual or in-person First Light event.

Select your mini-mission *

James Webb Mini-mission

Estimated date of your mini-mission *

We can help you facilitate mini-missions in the months of July and August. Please select the date you plan to start your mini-misison with students.

Can your organization supply computers for the students? *

Yes
No
Maybe

Signature *

Supplies

Have you received supplies from NESSP in the past? *

What have we sent you? *

LEGO Mindstorms robot
Makeblock robot
Drone
Microscope
Foldscopes
CO2 detector

Your contact information

Your mailing address *

Address Line 1

Address Line 2

City

State

Zip Code

Your phone *

NESSP connections

Let us know if we've worked together in the past!

NESSP training *

Have you done any NESSP trainings? Examples: Weeklong summit, summer camp training, two-day workshop, et cetera.

Your trainings *

Please list what training you did with us and the approximate date (month/year is fine!).

Challenge team *

Have you been a mentor/coach for a NESSP challenge team?

NESSP challenges *

ANGLeS Challenge (Apollo 50th)
ROADS on Mars (2019-2020)
ROADS Freestyle (Spring 2020)
ROADS on Asteroids (2020-2021)
ROADS on Icy Worlds (2021-2022)

For which NESSP challenge did you mentor a team? Select all that apply!

How did you hear about our summer 2021 mini-missions? *

Email from NESSP
Web search
Other....

Other.... *

Thank you!

Thank you for your interest being an instructor for NESSP 2022 Mini-missions! After you click "Submit," you will receive a confirmation message on-screen. You'll also receive a confirmation of your form via email (don't forget to check your spam just in case).