Mini-Mission Registration Step 1

Lead Instructor Name *

First

Last

Lead Instructor Email *

Lead Instructor Phone *

Will you have an assistant instructor (for more than 15 student participants)? *

Yes
No

Assistant Instructor Name (Optional)

First

Last

Assistant Instructor Email *

Assistant Instructor Phone *

Shipping Address for Supplies *

Address Line 1

Address Line 2

City

State

Zip Code

Which mini-mission will you lead? *

Only offering James Webb Mini-Mission right now.

Please describe your anticipated mini-mission. Include information on how you plan to recruit students and whether you are part of an organization. *

If you are leading James Webb Mini-Mission, please select the materials you need:

Lesson 1 Game Pieces and Board
Educational Hand-held Lenses
Celestron 2120 FirstScope Desktop Telescope
Computer support

How many students do you estimate will attend your mini-mission? *

How many groups or teams of students do you estimate will attend your mini-mission? (This will tell us how many sets of supplies to provide.)

How many students will be in each group? (We recommend groups with 4-6 students.)

City, State of mini-mission *

What is the zip code of the location of your mini-mission?

Where, specifically, do you plan to hold your mini-mission (e.g. I will hold the mini-mission at Sally Ride Middle School.)? *

What are the dates do you plan to lead your mini-mission? *

We can offer additional training sessions for instructors that cannot attend the trainings above or need additional help. If you would like to request an additional training session, please describe your needs (e.g. which parts of the lessons would you like help with).

Please upload a signed Instructor Agreement Form as a word document or pdf *

Click or drag a file to this area to upload.

Mini-Mission Registration Step 1

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