NESSP
Northwest Earth & Space Sciences Pathways
Menu
About NESSP
Student Programs
Educator Programs
Events and Announcements
Mini-Mission Registration Step 1
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 2
Lead Instructor Name
*
First
Last
Lead Instructor Email
*
Lead Instructor Phone
*
Mailing Address for loanded supplies (we prefer an organization if possible over a residential address)
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Will you have an assistant instructor?
*
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Which mini-mission will you lead?
*
James Webb Mini-Mission
Icy Worlds Mini-Mission
Artemis ROADS Mini-Mission
Please describe your anticipated mini-mission. Include information on how you plan to recruit students and whether you are part of an organization (like GEAR-UP or the Boys and Girls club).
*
How many students do you estimate will attend your mini-mission?
*
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.)?
*
Please confirm that you agree to complete a mini-misson training, a background check (if required), and will submit information on needed supplies at least 2-weeks before the start of your mini-mission.
Please upload a signed Instructor Agreement Form as a word document or pdf
*
Click or drag a file to this area to upload.
Next
Updating preview…
This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.
Previous
Submit
Announcements
NESSP NEWS: Back to School Opportunities! – September 12th, 2023 🗓
Artemis ROADS II Team Registration Opens on October 4th, 2023! 🗓
Register for Artemis ROADS II Professional Development