/ geekStarter Final Report Form /

On behalf of MindFuel and Alberta Innovates, we would like to congratulate all geekStarter-supported teams and clubs on another successful season. The following report is critical to helping us fully communicate the excellent work of your team and build greater awareness and support for the program across the province.

Incomplete or late submissions may impact future funding decisions for your team.

Notes completing the report

  • The reporting period covers your most recent geekStarter term activities.
  • Please feel free to add extra rows to the provided tables, if needed.
  • If you have any questions regarding the report or submission process, please email .

Unused funds

Anyfunds remainingintheaward’srelated account(s) as oftheperiodof supportenddatewillbe re-claimed byMindFuel.Thesefundsareconsideredunusediftheaccount has acreditbalanceafterthe enddate.

Submit your completed reportto MindFuel:

MindFuel (Science Alberta Foundation)
Attention: geekStarter Project Manager
Suite 260, 33rd Street NW
Calgary, AB, T2L 2A6 / Phone:
Fax:
Email:
Website: / 403-220-0077
403-284-4132

edacity.ca/geekStarter

PART 1 - ORGANIZATION INFORMATION

School/University:
Initiative Name:
(Team, club, project or program)

Faculty Advisors

Name / Email Address / Phone Number
1.
2.
3.
4.

Composition

Please indicate your team’s/club’s composition by completing the following table.

Member type / # of Participants / Notes (Optional)
K - 12 Students
Undergrad Students
Graduate Students
Faculty
Other
Total

Team Roster
Please see Appendix A and complete the provided table with each student’s full name, email address, year of study or grade level, and number of years of involvement with the team/club.
If you have this information in another format, please feel free to attach it to your completed report in lieu of the provided template.

PART 2 - SUMMARY OF ACTIVITIES

Competition and research outputs
Please list allcompetitions, completedpublications, presentations (poster and oral), and intellectual property produced during this geekStarter season.

Date / Description

Training

Please list project-related training, coursework, or certifications completed by team members this season,whichdirectly advanced the project?

Date / Description / # of Participants

Community/outreach activities
If you engaged other audiences in activities this seasonto raiseawareness of your research, technology or initiative(e.g.,outreach events, public presentations, etc.) please describe these in the table below.

Date / Name of event/activity / Description of team/club participation / # Engaged

Media recognition
Please list any news or other media attention received by the team or club in the table below. Where possible, please provide links to online content.

Date / Media outlet / Description and/or URLs

Awards or other distinctions
Please list any awards or external recognition that your team has received for its achievements.

Date / Source of Recognition / Description

PART 3 – FINANCIAL SUMMARY

Support from geekStarter
How much did you originally receive from geekStarter?

Value of extra prizes or awards from geekStarter (e.g. travel awards)?

Use of support

In the table below, please indicate the use of financial supportfrom geekStarter in a line item format (travel, supplies, fees, etc.). For each item, provide the amount of the expense and a short description.

Item / Amount / Description
Total

Sponsors

Please list all your team’ssponsors and indicate the amount of funding received from each.

Sponsor / Amount

Part 4 – Summary of project or club

Please provide a one-pageexecutive summary of your geekStarter project/initiative and highlight your initial project/skills development goals, a timeline of activities throughout the season, and the end results.

APPENDIXA - TEAM ROSTER

Name / Email Address / Grade or
Year of Study / # Years on Team