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Collaboration Grants Application
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DiscoverE Collaboration Grant Application
Project/Program title:
*
Please list leading organizations. Include contact information and role of each for this project.
Organization 1:
*
Contact First Name:
*
Contact Last Name:
*
Title and employer or College / University:
*
Street:
*
City:
*
State:
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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Northern Marianas Islands
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Pennsylvania
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Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
Country:
*
Phone:
*
Email:
*
Role:
*
Is this contact a
*
- Select -
Volunteer
Educator
Other
If you selected other, please describe
Is this contact a member of an engineering society?
*
- Select -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
Additional membership
- None -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
Organization 2:
*
Contact First Name:
*
Contact Last Name:
*
Title and employer or College / University:
*
Street:
*
City:
*
State:
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
Phone:
*
Email:
*
Role:
*
Is this contact a
*
- Select -
Volunteer
Educator
Other
If you selected other, please describe
Is this contact a member of an engineering society?
*
- Select -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
Additional membership
- None -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
Organization 3:
*
Contact First Name:
*
Contact Last Name:
*
Title and employer or College / University:
*
Street:
*
City:
*
State:
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
Phone:
*
Email:
*
Role:
*
Is this contact a
*
- Select -
Volunteer
Educator
Other
If you selected other, please describe
Is this contact a member of an engineering society?
*
- Select -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
Additional membership
- None -
None
AAAS
AAPD
ACEC
AIAA
AIChE
AISES
ASABE
ASCE
ASHRAE
ASME
CIE
GEM
IEEE
IEEE-USA
IISE
MentorNet
NACME
NAMEPA
NCEES
NOGLSTP
NSBE
NSPE
SAE
SHPE
SME
SPE
SWE
WEPAN
If you have any additional lead organizations, please list their contact information and role:
Please provide a general description of your project/program:
*
What are the goals and objectives for your project/program?
*
What is your total project budget? Please list any additional sources of revenue. (Please note you will need to notify us if things change).
*
Is this a new program/project?
*
- Select -
Yes
No
If no, please explain how this grant will add to its success:
Who is the target audience? Please include anticipated numbers, ages and demographics.
*
Project/program start date:
*
Project/program completion date:
*
Email address to receive confirmation email that grant application has been received:
*
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Engineers Week
Engineers Week
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Dream Big Film
Future City Competition
Future City Competition
Introduce A Girl to Engineering Day
Introduce A Girl to Engineering Day
Global Day of the Engineer
Global Day of the Engineer
Global Marathon: For, By, and About Women in Engineering and Technology
Global Marathon: For, By, and About Women in Engineering and Technology
Awards & Recognition
Awards & Recognition
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