2018 Zero Robotics Application_Idaho Application Instructions Question Title * 1. Organization Information Organization Name Address Address 2 City/Town State/Province ZIP/Postal Code Website Phone Number Question Title * 2. Contact Information Executive Director and/or Principal Phone Email Project Coordinator (if different) Phone Email Question Title * 3. Please select all that apply: School/School District 21st Century Community Learning Center Community-Based Organization Faith-Based Organization Other (please specify) Question Title * 4. Social Media Twitter Facebook Instagram Website Other Question Title * 5. Community Information: Please indicate the percentage of students in your current program or school. Please write out what each percentage is, i.e. Female 40% and Male 60%. This year we will have a concentrated effort to recruit more females into the program. Gender: Female and Male Low income (receiving free or reduced lunch and/or contracts/vouchers/subsidies) Children or youth with diagnosed disabilities English Language Learners Racial/Ethnic Demographics: American Indian or Alaska Native%, Asian%, Black or African American%, Hispanic or Latino%, Native Hawaiian or Pacific Islander%, White or Caucasian%, Other% Question Title * 6. Please identify from the above demographics the students that you will specifically invite for 2018 participation in Zero Robotics and how you will reach out to them: Question Title * 7. Provide a Brief Description of Your Program and Partners Does your organization/school currently offer a STEM course and/or curriculum during the summer? If yes, please describe your STEM offerings, any online or printed STEM curricula you have used (i.e. NASA K-12 online curriculum, FIRST, EiE/EA), and explain how the Zero Robotics Project will complement your summer learning program. If no, please explain how and why you would like to add a STEM component to your summer program through Zero Robotics. Describe any particular experience with computer programming or teaching STEM summer curricula that your staff members or volunteers may have (experience not required). Strong partnerships are essential to a successful Zero Robotics program. Discuss which agencies, organizations, schools, or other service providers you plan to collaborate with on this project. If you have a commitment from these partners, have they agreed to provide volunteers, financial support, or another form of support? If you have not yet engaged partners, please submit a plan to do so. Question Title * 8. Please confirm what you can offer at your site (check all that apply) Computers/Internet Space for a field day (access to a field outdoors) Paid Mentor(s)/educator (thanks to the STEM Action Center, we do have a small pool of funds to help pay for lead mentor/educator's time, but not likely a full-time stipend. Also thanks to the Idaho Space Consortium, we may be able to pay for 3 CEUs through Boise State for formal educators) Volunteer Mentor(s)/educator(s) General Office Supplies Transportation to finals and/or local field day if needed (thanks to the Idaho Space Consortium, we may also be able to help support most of these costs) Comments/Explanations to any of the above Next
