1 Contact Information2 Program Information3 Program Insight4 Technical Check5 Financial Check6 Highlights7 Research Check Name* First Last Email* Position*Organization*Website PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Describe your program:*How long has your program been running?*What age ranges does your program serve (select all that apply)? Elementary School aged youth Middle School aged youth High School aged youth What is your youth:instructor ratio for your programs?*e.g. 15:1What is the average daily attendance of your program?*What is the average enrollment of your program?Describe your program's demographics?*Where does your program operate?* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Describe your program's goals:*How does your program include youth in the design and development of your program?*How do you measure your program's success?*Mention both your evaluation methods and your evaluation metrics.Where do you get your curriculum/content from?*How do you envision the "Maker Foundations" program fitting in with your programs?* Does your site have Internet connectivity?*YesNoDescribe the process to get websites unblocked:*In your description, please include the number of people involved in the process and the average amount of time for changes to be implemented.How will the programs and equipment provided as part of the project align with your existing program?* What is your organization's annual budget?*How many external financial audits has your organization undergone?* What motivated you to apply for this opportunity?*Please provide links to any articles or media highlights you would like to share with us.Is there any other information you would like to share with us? Do you recognize that this is a research project and participants will be required to participate in data collection and sharing including interviews, assessments, surveys, and other data collection methods.*YesNo
