For the Kit:

Which PLANETS @ Home STEM Kit(s) are you requesting?

Who will do the activities at your house? (Check everyone who will play.)

Tell NASA who you are:

PLANETS (Planetary Learning that Advances the Nexus of Engineering, Technology, and Science) is a partnership for the development and dissemination of NASA out-of-school time curricular and educator resource modules that integrate planetary science, technology, and engineering, particularly with underrepresented audiences.

We thrive on the diversity of communities that we are able to serve through the PLANETS program. In an effort to share information with our funders and stakeholders on our current partners, we kindly ask that you provide some additional information.

Your responses are optional and will not impact your application for a STEM kit in any way.

Your demographic information: (please proceed ONLY if you are over the age of 18)

How do you describe your gender identity?

With which ethnic and racial group(s) do you identify?

(Mark all that apply)

Your estimated household income:

Youth demographic information:

How would you describe the gender(s) of the kids or teens who will be doing the activities?

With which ethnic and racial group(s) do the kids or teens who will be doing the activities identify?

(Mark all that apply)

Do any of the kids or teens playing have a disability?

Thank you for submitting your application for a free PLANETS @ Home STEM kit(s)! We will be in touch in 5-7 business days regarding the status of your application.