National Astronaut Programme
Application Form
Your name
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Your organisation
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Your telephone number
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Your email address
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Your organisation’s Chief Executive
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Your organisation’s website
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1. Your organisation
Please describe your organisation, giving your overall mission and vision, your approximate visitor
numbers, your content specialism and an overview of your current schools and family programmes.
(Max 250 words)
Please confirm the following (To be eligible, all applicants must have answered yes):
Your CEO / Senior manager has approved this application
You are an approved member of ASDC and will remain so throughout this programme if
awarded this grant
Two members of your staff will participate fully in the Astronaut Training Academy
Yes
No
Yes
No
Yes
No
2. Summary of how you will run the Astronaut Programme
Please bring alive to us how your organisation will run this programme to maximise all opportunities
to celebrate the European Space Agency's first British astronaut and to address the vision and goals of
this project. Please include why your organisation would be excellent at engaging families, your passion
for the content, your expertise and why your organisation is keen to be selected. (Max 500 words)
3. Please give us two options for an amazing launch event, one for a 9pm launch,
and one for if it becomes a day time launch.
(Max 250 words)
Note - this is to give us an indication of what you are capable of, you may change elements of it following the training academy
and resubmit these.
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4. How would you engage girls with STEM, and reach wider audiences
(Max 250 words)
5. Press Plan: How will you celebrate the European Space Agency's first British
astronaut with Press, TV, media, social media, print media and the public
widely (bullets with ideas and dates please). We expect these will develop over
the project, and will ask for your full press plan after the training academy
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6. Assuring quality
Please outline how your organisation ensures high quality science and engagement, including how you
will train your science engagement professionals on staff to deliver the show and incorporate all the
latest footage as it comes down from space
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6. Numbers of participants (min 7,000)
How will you reach 7-10 000 people in the period between October 4, 2015 and March 1, 2016?
Type of activity
When
Number of
participants per
event
Number of
Shows/events
Total number
of participants
1. Family Astronaut Show (weekends)
2. Family Astronaut Show (holidays)
3. Launch Event
4. Meet the expert series of events
5. Brownies and Guides Events
6. Special Astronaut Day / Event
7. Special Event
8. Special Event
9. Other (please specify
Other (please specify
Overall TOTAL number of family participants ………………………………..
How many people do you expect to engage by social media in the first year, and please give your
workings / rationale behind the figures you give.
6. Budget for the £3000 grant (inclusive of VAT)
Details
Staff costs (£250 day)
Marketing
Consumables
Special Event
Speaker costs
Any other items
TOTAL (including VAT)
£3000
In kind contribution of your staff
(£250 day) (Approx across the project)
Other in kind contribution
Total
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8. Your Commitment to Project Evaluation
a) Please confirm your commitment to evaluating the programme and submitting metrics of who you
have engaged.
9. The project will provide the following to the selected centres. Please confirm which
of the following (hopefully all) you will use?
1. A bespoke family show for 7-15 year olds and parents
Yes No
2. An exceptional set of adaptable hands-on equipment
Yes No
3. A short workshop for brownies and guides
Yes No
4. A ‘meet the expert’ activity format and introductions to experts
Yes No
5. To attend the national training academy to train staff from 15 centres
Yes No
6. To get involved in social networking and contribute to sharing ideas
Yes No
7. To use and contribute to the project evaluation
Yes No
9. Level 2 funding: Astronauts into Schools and Communities
If ASDC secures funding from the UK Space Agency for Level 2 of a National Astronaut Programme and
develops suitable curriculum-linked and adaptable resources would you (from Oct 2015 - Feb 2017) be
keen to run
1. An Astronaut Programme for schools
Yes No
2. A programme reaching underserved audiences
Yes No
Any Comments:
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We expect to have confirmation of this programme in April 2015 and clarity over the amount of funding.
In early May we will provide details of the programme (including its scope, goals and funds available) for
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you to make your decision. There will be a rapid turnaround process to select partners and confirm what
these partners will want to do. The 15 selected partners will have priority. Please note, preference here
will be given to those who say Yes here to wanting to also run these Level 2 programmes.
I confirm that I understand that Tim Peake's launch date or other parts of this schedule might possibly
change and that some flexibility may be needed with this programme.
Yes No
Signature of applicant
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Date
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Please use a digital signature
By signing this application you are also agreeing to the following:
 Data protection - you are happy for us to share your application with UKSA and the selection panel as part of the
selection process.
 If successful, you are happy for us to share your organisation’s name and logo on the ASDC and partner websites
 That you will promote the project on your website at an appropriate time
 You are happy to comply with all branding and logo requirements set out for the project.
Submitting your application
Please email applications by 10 March 2015 to:
James Summers [email protected]
CCed to [email protected]
Notes:
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Applications will only be accepted by email
Please title the email ‘National Astronaut Programme application - <name of your centre>’
All applications will receive an auto response from the info email address, please ensure you
have received this to show your application has been submitted successfully.
The deadline for applications is 10 March 2015 at 11pm
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