A Proposal for an Educational Grant

A PROPOSAL FOR AN EDUCATIONAL GRANT

FOR

Tualatin High School’s PARTICIPATION IN

NASA GLENN DIME DROP DAYS

PART OF THE

DROPPING IN A MICROGRAVITY ENVIRONMENT

(DIME) STUDENT COMPETITION

submitted to

National Aeronautics and Space Administration

Glenn Research Center at Lewis Field

Microgravity Science Division

Cleveland, Ohio

Chris Murray

Principal Investigator

Tualatin High School

22300 SW Boones Ferry Rd.

Tualatin OR, 97219

January 2005

CAGE code: <CAGE CODE>

DUNS No.: <DUNS #>

Tax ID: <TAX ID>

Tualatin High School

22300 SW Boones Ferry Rd.

Tualatin OR, 97219

NASA Glenn Research Center at Lewis Field

21000 Brookpark Road

Cleveland, OH 44135

EDUCATIONAL PROPOSAL

Title: Tualatin High School PARTICIPATION IN NASA GLENN DIME DROP DAYS

New or Renewal Request: New

Proposed Duration: 6 months

Period: on or about March 15, 2005to June 15, 2005

Funding Requested: $ <TBD> (obtain value from budget page)

Principal Investigator: <DIME ADULT TEAM LEADER NAME>

Authorized Organizational Representative:

Endorsements

______

<DIME ADULT TEAM LEADER NAME >Date

Principal Investigator

______

<NAME OF SCHOOL REP TO SIGN CONTRACTS>Date

<TITLE>

INTRODUCTION

TECHNICAL SUPPORT

In the current school year, Tualatin High School will be completing the design of its experiment apparatus for the DIME program. <SOME MENTION OF OPTIONAL CORPORATE OR OTHER ASSISTANCE TO THE DIME TEAM CAN GO HERE>

The requests of this grant will cover the experiment shipping, travel, motel, and per-diem expenses involved in traveling to NASA Glenn to participate in the DIME Drop Days. This will enable the Tualatin High School DIME team to continue the educational DIME experience.

PROPOSAL OBJECTIVES

This is a proposal which requests funding for the NASA Glenn Dropping In a Microgravity Environment (DIME) competition for the 2003/2004 school year. The teams selected through the DIME proposal evaluation process will travel to NASA Glenn for the three-day DIME Drop Days during which the teams' experiments will be operated in the NASA Glenn 2.2 Second Drop Tower.

The DIME competition combines science and technology in a teamwork oriented project to conceive an experiment, develop the design, construct the experiment apparatus, and operate the experiment in the NASA Glenn 2.2 Second Drop Tower. The planning and execution of this project will develop the technical and academic skills necessary for these students to attain scientific and/or engineering careers.

The objectives of the Tualatin High School IB Program are as follows:

1. To provide students a rigorous curriculum in science and mathematics on a honors level so that students are prepared to succeed in future college course work in these areas.

2. To assist students in making career decisions in the areas of science, mathematics, engineering, and technology.

3. To provide students with state of the art facilities in which to implement science and mathematics curriculum.

The objectives of the Tualatin High School DIME team:

1. To expose students to professional engineers and technicians and the environment in which they work.

2. To provide an opportunity for students to participate in the scientific process in a meaningful way.

3. To provide an opportunity for students to participate in the engineering process in a meaningful way.

4. To demonstrate applications of High School Science and Mathematics concepts to actual science and engineering processes.

5. To work on a task oriented team effectively and efficiently.

Along with those goals and objectives, the proposed educational grant will address programmatic goals of the entire school.

1. Student development <COMPLETE THIS AS APPROPRIATE AND APPLICABLE>

• Improvement in student academic achievement

• Improvement in student attendance

• Reduce student drop-out rate

• Facilitate educated decisions regarding careers in science, engineering, and technology

2. Staff development <COMPLETE THIS AS APPROPRIATE AND APPLICABLE>

• Team building

• Curriculum enhancement and delivery

• Assist in attending educational workshop opportunities

3. Continue to enhance Tualatin High School internal/external image

• Publicize the Tualatin High School participation in the NASA Glenn DIME program

• Increase parental involvement in classroom and support activities

RESUME OF DIME TEAM ADVISOR

Education

MS in Curriculum and Instruction

Portland State University

1999

BS in Physical Science Teaching

University of Minnesota

1990

BA in Physics and Computer Science

Macalester College

1985

Work Experience

Physics Teacher

Tigard-Tualatin School District

Fall 1991-Present

Built a Physics program from 2 classes to 8. Designed and developed a very useful web page to teach physics. (tuhsphysics.ttsd.k12.or.us) I currently promote a research program with my IB physics students, and teach 3 first year IB courses, 1 second year course, and 2 general courses in physics.

Research Assistant

Partners in Science

Summers 1996 and 1997

Investigated chaotic dynamics of nucleate boiling with Dr. Semura of Portland State University. My work was later published in the proceedings of the 1998 Partners in Science convention.

Science Teacher

Red School House

Fall 1990-Spring 1991

Physics Teacher

Breck School

Fall 1985-Spring 1988

Skills and Interests

Computer programming

Back country skiing

Hiking

Sea kayaking

Stained glass

(But mostly I just play with my kids - 6 and 8)

BUDGET FOR EXPERIMENT SHIPPING AND TRAVEL EXPENSES

Tualatin High School PARTICIPATION

IN NASA GLENN DROP DAYS

------

PRELIMINARY BUDGET – INCLUDE THE APPLICABLE ITEMS FOR YOUR TEAM (THEN DELETE THIS LINE)

Experiment shipping expenses$200.00

Transportation costs for team flying to Cleveland

Airfare @ $500.00 per person$2500.00

Rental van @ $80.00 per day for four days$320.00

Fuel cost @ $0.15 per mile for 100 miles$15.00

Motel costs

Three nights in motel

One single room for adult team leader @ $100 per night$300.00

Two double rooms for four student team members @ $100 per night $600.00

Per-diem food costs

Three days @ $30 per day for team leader and four team members$450.00

Total proposed funding: $ TBD.00

Certification Regarding

Debarment, Suspension, and Other Responsibility Matters

Primary Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, Section 85.510, Participant's responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160 - 19211). Copies of the regulation may be obtained by contacting the U.S. Department of Education, Grants and Contracts Service, 400 Maryland Avenue, S.W. (Room 3633 GSA Regional Office Building No. 3), Washington, DC. 20202-4725, telephone (202) 732-2505.

(1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;

(b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or Local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or Local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

(d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or Local) terminated for cause or default.

(2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Organization NamePR/Award Number or Project Name

Name and Title of Authorized Representative

SignatureDate

ED Form GCS-008 (REV.12/88)

Certification Regarding Lobbying

for Contracts, Grants, Loans, and Cooperative Agreements

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connnection with the Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certificate shall be subject to a civil penalty of not less than $10,000, and not more than $100,000 for each such failure.

Signature Date

Name and Title of Authorized Representative

Organization Name

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