Organization Administrator Name: Title/Role: Will receive copies of certain key Address: ARISS correspondence City, Zip Code: Work Telephone: Email: Organization Main of Contact Name: Title/Role: Main POC must be authorized to Address: represent the organization City, State, Zip Code: Work Telephone: Mobile: Email: Organization Technical Point of Contact Name: Title/Role: Technical POC will coordinate audio/video/Internet technology for the Address: event City, State, Zip Code: Work Telephone: Mobile: Email: Media Coordinator Name: Media POC will coordinate publicity, Title/Role: outreach to local media—not just postings on school or group web sites and social Address: media-- and be responsible for obtaining City, State, Zip Code: Email: Talent Releases and high resolution .photos and any other media documentation Work Telephone: of the educational activities and ISS Mobile: interview to provide to the ARISS program Email: Partner Organization Main Point of Organization Name: Contact (if applicable) POC Name: Main POC from another school or Title/Role: educational organization in partnership to Address: host the ARISS contact. Example: a science museum partnering with a local school that City, Zip Code: will provide the students who will be Daytime Telephone: participating. Mobile: Email: Email:
Organization Administrator Will receive copies of certain key ARISS correspondence Name: Title/Role: Address: City, Zip Code: Work Telephone: Email: Organization Main of Contact Main POC must be authorized to represent the organization Name: Title/Role: Address: City, State, Zip Code: Work Telephone: Mobile: Email: Organization Technical Point of Contact Technical POC will coordinate audio/video/Internet technology for the event Name: Title/Role: Address: City, State, Zip Code: Work Telephone: Mobile: Email: Email: Media Coordinator Media POC will coordinate publicity, outreach to local media—not just postings on school or group web sites and social media-- and be responsible for obtaining Talent Releases and high resolution .photos and any other media documentation of the educational activities and ISS interview to provide to the ARISS program Name: Title/Role: Address: City, State, Zip Code: Work Telephone: Mobile: Email: Partner Organization Main Point of Contact (if applicable) Main POC from another school or educational organization in partnership to host the ARISS contact. Example: a science museum partnering with a local school that will provide the students who will be participating. Organization Name: POC Name: Title/Role: Address: City, Zip Code: Daytime Telephone: Mobile: Email: Email:
ariss_proposal_form_due_2018-11-15.docx