CORE DATA

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* 1. ACTIVITY DESCRIPTION:
Please provide a short (paragraph or so) description of the activity, its goals and objectives, and unique characteristics. This section should include special conditions and products to be completed by participants.

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* 2. Is this an ongoing activity?

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* 3. Please briefly describe based on your activity description, what impact this project has had on you personally and in your career trajectory? (This should be a human interest story piece and will be included in reports to the National NASA programs office as well as on the NVSGC website)

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* 4. COMPETITIVENESS:
Describe the competitiveness of this activity including eligibility and selection criteria.

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* 5. ACTIVITY CONTACT PERSON:

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* 6. SELECT PARTICIPATING AFFILIATES:
Please provide the names of the affiliates that participated within this activity:

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* 7. NASA CONNECTIONS:
This activity is in alignment with the priorities of the following connections: (Mark all that apply)

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* 8. A partnership is a reciprocal and voluntary relationship between the activity personnel and NASA, industry or other partners, to cooperatively achieve the goals of the activity. Was there a partnership with a NASA center on the activity?

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* 9. PUBLICATIONS AND PRESENTATIONS:

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* 10. For all publications referenced above, please provide the following: AUTHOR(S), YEAR, TITLE, PUBLICATION (Journal, Book, Proceedings, Other), PEER REVIEWED (Y/N), STATUS (Declined, Pending Accepted), and AUTHOR CATEGORY (Faculty, Postdoc, Student).

For all presentations referenced above, please provide the TITLE, PRESENTER and VENUE.

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* 11. PROPOSALS:

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* 12. For all funded proposals, please provide the PROPOSAL TITLE, INSTITUTION, NAME OF FUNDING ORGANIZATION, TYPE OF FUNDING ORGANIZATION (NASA, Other Federal Agency, State Agency, Private Foundation, Non-profit, Industry, Other), AMOUNT REQUESTED and AMOUNT RECEIVED.

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* 13. PATENTS AND TECHNOLOGY TRANSFERS:

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* 14. For all granted patents referenced above, please list the PATENT and DATE RECEIVED.

For all issued licenses, list the LICENSE and DATE ISSUED.

For all technical transfer activities, list the ACTIVITY and TRANSFER PARTNER.

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* 15. EVALUATION:
How does this activity contribute to meeting the goals and objectives of the project/ agreement with NASA education?

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* 16. What metrics or measures are documented (caputured) through the evaluation process to determine the effectiveness of this activity?

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* 17. REFERENCES: (Optional)
Please e-mail nvspacegrant@nshe.nevada.edu with any reference document(s) as needed. Below, please indicate the relevance and the section it pertains to.

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