Sun, Earth, Universe Exhibition Application

Your Name and Organization

In collaboration with NASA, the National Informal STEM Education Network (NISE Net) is pleased to offer eligible institutions the opportunity to apply for a free Sun, Earth, Universe exhibition.

Applications were due May 1, 2018.
If you complete an online application after May 1, 2018 your application will be added to the waiting list for the exhibition.

Up to fifty (50) copies of the exhibition will be fabricated; all copies will be identical and distributed to museum partners free of charge.

Before completing this application please read the application overview carefully. The overview describes the project, eligibility, and reporting requirements, and is available here: http://www.nisenet.org/sunearthuniverse

Please note that it is NOT possible to save your work in the SurveyGizmo online form and return for additional edits. Reports left idle for too long will go blank when you progress to the next screen. Please plan to complete the online report in one session. You may want to write your responses in a Word document, save, and then cut and paste that information into this report. You may download the application in PDF and Word document formats here: http://www.nisenet.org/sunearthuniverse

1. Applicant name and contact information

First Name

Last Name

Job Title

Organization

Address 1

Address 2

City/Town

State

Country

Zip

Email Address This question requires a valid email address.

Institution Website

Phone Number

2. Please confirm your organization in the pull-down selection below. Organizations are sorted alphabetically by state, then city, and organization. If your organization is not listed, please choose "OTHER" at the bottom of the list.