Disseminating COVID-19! How Can I Protect Myself and Others? in Your Community

Thank you for submitting data on how you are dissemination the Smithsonian Science for Global Goals COVID-19! How Can I Protect Myself and Others? module. By providing us with this basic information, you are ensuring that we can document the reach of the COVID-19 module, and help the Smithsonian Science Education Center to understand how to best support educators and parents as they undertake this module with their learners. Thank you!

Basic Contact Information Name * Organization/Affiliation Age Check * Please confirm that you are 18 years of age or older How did you hear about or find the COVID-19 module? * Email from the Smithsonian Webinar News Article Social Media Professional Organization Friend or Colleague Other Please Explain

Where are you disseminating the COVID-19! Module? Country * - Please Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe City or Town * State or District

Dissemination and Impact What languages have you disseminated the module in? * Amharic Arabic Bengali Chinese Farsi French Hausa Hebrew Hindi Indonesian Italian Japanese Korean Malay Pashto Portuguese Romanian Spanish Swahili Tagalog Tamil Thai Vietnamese Yoruba How many young people have you disseminated the module to? Please be as exact as possible. * What evidence do you have that the module is being used by young people in your community? * What have been your primary approaches to dissemination? * (Check all that apply) Digitally through email Digitally through a learning management platform Paper packets distributed to students Paper packets distributed to educators Social media Radio Television Podcast SMS or text message Other Please Explain (fill-in-the-blank space to explain) Have you faced any unforeseen challenges to disseminating or implementing? If so, what? * Yes No Please Explain Is there any other information you would like to share with the Smithsonian?

If you have any documents, photos, or videos you would like to share with the Smithsonian Science Education Center, please email them to Katherine Blanchard at BlanchardKP@si.edu.

Leave this field blank

CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.