GLOBE Mission EARTH
SATELLITES Conference 2019
LOCATION: University of Toledo, 2801 W. Bancroft, Toledo, Ohio 43606
ROOMS: Lancelot Thompson Student Union, Ingman Room and Room 2582
DATE: Wednesday, May 1st, 2019
TIME: 9:30am - 1:30pm

Registration

Welcome to the Registration Page for the SATELLITES Conference 2019!

REGISTRATIONS Deadline - April 12, 2019 at MIDNIGHT in order to get the $10/student fee scholarship. After April 12, 2019, a $10/student fee will apply.]

Hello teachers,

We are very excited that you and your students will be joining us for this event! Each year, students utilize this opportunity to showcase their science research and share their work with fellow students, scientists and educators. GLOBE Mission EARTH is proud to host the SATELLITES Conference again this year, and we look forward to seeing you and your students!

It is very important that we get an accurate count of teachers and students who will be attending the conference, as well as project team members and project titles. Please fill out the below information as accurately as possible. Once submitted, you cannot go back in and edit the form.

For student project information, please fill in project team members and project titles as accurately as possible. Encourage your students to commit to a line of research and settle on a project title sooner than later. This will help them to stay focused in their research. However, if you do not yet know the titles of any projects by the time you submit this form, please just put "TBD" (to be determined) so that any students who want to attend can do so. It is very difficult for us to include students on the day of the conference for whom we have had no prior information. Also, note that we use this information to generate our scoring sheets for the judges and name badges, so it is very important that we have accurate student names, team members and project titles. Student projects can be individual or teams (up to three students), and there is no limit to the number of students you may bring.

Every student who participates in SATELLITES is also required to have their parents sign the NASA Media Release Form. Please have these signed forms with you when you check in on the day of the event.

The NASA Media Release Form can be found here:

https://tinyurl.com/y8yjeycw

Thank you for your time!

~GME Team

Question Title

* 1. Teacher Information

First Name

Last Name

Grades Currently Teaching

Subjects Currently Teaching

Email Address

Home Address (Number and Street)

Home City

Home State

Home Zip Code

Cell Number

Name of Emergency Contact Person

Telephone Number of Emergency Contact Person

If you have any special needs (dietary, etc.), please explain here.

Question Title

* 2. School Information

School Name

School City

School State

School Zip Code

School Phone Number

District

Question Title

* 3. Student Information - Summary

Total number of students you will bring to the SATELLITES Conference

Total number of Projects

Of the total number of projects, how many are individual projects?

Of the total number of projects, how many are team projects?

Minimum Grade Level

Maximum Grade Level

Number of Students with Special Needs (dietary or otherwise)

List the Names of Students with Special Needs and details on their needs. If not applicable, write N/A.

Question Title

* 4. Student Project #1

Project Title

School Name

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade Level

Student 1 - Media Release Form Signed? Yes or No.

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade Level

Student 2 - - Media Release Form Signed? Yes or No.

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade Level

Student 3 - - Media Release Form Signed? Yes or No.

Question Title

* 5. Student Project #2

Project Title

School Name

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade Level

Student 1 - Media Release Form Signed? Yes or No.

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade Level

Student 2 - - Media Release Form Signed? Yes or No.

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade Level

Student 3 - - Media Release Form Signed? Yes or No.

Question Title

* 6. Student Project #3

Project Title

School Name

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade Level

Student 1 - Media Release Form Signed? Yes or No.

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade Level

Student 2 - - Media Release Form Signed? Yes or No.

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade Level

Student 3 - - Media Release Form Signed? Yes or No.

Question Title

* 7. Student Project #4

Project Title

School Name

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade Level

Student 1 - Media Release Form Signed? Yes or No.

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade Level

Student 2 - - Media Release Form Signed? Yes or No.

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade Level

Student 3 - - Media Release Form Signed? Yes or No.

Question Title

* 8. Student Project #5

Project Title

School Name

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade Level

Student 1 - Media Release Form Signed? Yes or No.

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade Level

Student 2 - - Media Release Form Signed? Yes or No.

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade Level

Student 3 - - Media Release Form Signed? Yes or No.

Question Title

* 9. If you have more than 5 student projects, please complete another survey. Enter the teacher name again, but no need to fill out the personal teacher info. If you have any problems, email sara.mierzwiak@rockets.utoledo.edu. If you have any additional comments of concerns, please enter them here.