OERB Grant Request Form

OERB Grant Request Form is sponsored by Oklahoma Energy Resources Board (OERB). The OERB provides grants and sponsorships to expand access to high-quality STEM education, support innovative learning opportunities, and inspire the next generation of Oklahoma's energy workforce.

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Grant and Sponsorship Application Oklahoma Energy Resources Board Student Education Mission Through the voluntary funding of the people of Oklahoma Oil and Natural Gas, the Oklahoma Energy Resources Board (OERB) provides grants and sponsorships that expand access to high-quality STEM education, support innovative learning opportunities, and inspire the next generation of Oklahoma’s energy workforce.

Grant Submission Guidelines: You will receive confirmation that your application has been received within 7–10 business days of submission. Applicants will be notified of the funding decision (approved, partially funded, or declined) within 90 days of the confirmation of receipt. Sponsorship Submission Guidelines: You will receive confirmation that your request has been received within 7–10 business days of submission.

Sponsorship requests are reviewed by the Student Education Committee at its next scheduled meeting based on the submission date. Following committee review, applicants will be notified of the funding decision as soon as possible.

Request received between -> Meeting consideration April 16 – August 15 -> September Meeting August 16 – October 15 -> November Meeting October 16 – December 15 -> January Meeting December 16 – February 15 -> March Meeting February 16 – April 15 -> May Meeting Program Budget Limitations: Grant and Sponsorship awards are subject to available funding. Applicants should submit realistic, cost-effective budgets.

The OERB reserves the right to fully fund, partially fund, or decline any application and may request budget revisions as needed. Are you submitting a grant request or sponsorship request?

(Required) Grant Funding (robotics, drones, other STEM programs) Sponsorship Funding (energy education events and career readiness events) First and Last Name (Required) Select the option that best fits your role as it relates to the OERB and this request. (Required) K-12 Teacher / Administrator University Sponsorship Coordinator Corporate Sponsorship Coordinator Please provide more information about your role.

(Required) School District (Required) If this request will include multiple school districts, please include all districts here. Put N/A if the request is not associated with a specific school district. Put N/A if the request is not associated with a specific school.

Superintendent Name (Required) If this request will include multiple school districts and/or schools, please include the Superintendent Name for the one that will be most closely working with you. If same as applicant, write Same. Superintendent Email (Required) If same as applicant, write Same.

University Name (Required) University Program (Required) Put N/A if the request is not associated with a specific university program (e.g. SPE). Business or Organization Name (Required) Federal Employer Identification Number (FEIN) (Required) Finance Contact Name (Required) Person responsible for accepting funding. Finance Contact Email (Required) Tell us about your funding request.

Please provide a brief description of the event, program, or initiative for which you are requesting funding, including its purpose and how it supports energy education or career readiness.

Event Date (if applicable) I am requesting funding for (select the option that best fits your request): (Required) KISS Institute for Practical Robotics (KIPR) STEM Maker Camp by Engage Learning Other Robotics Program Grant Limited to 1 option per application. You are allowed to submit more than 1 application per school year. What KIPR program(s) are you requesting funds for?

(Required) JBC (K - 6th / 7th grade depending on Robotics understanding) Energy Explorer Kit (bridge between JBC and Botball) Botball (7th – 12th grade depending on Robotics understanding) Limited to 1 option per application. You are allowed to submit more than 1 application per school year. Please advise the # of JBC Kits you are requesting.

(Required) New to program, full set. Expanding program, 1 JBC Kit Expanding program, 2 JBC Kit Expanding program, 3 JBC Kit Expanding program, 4 JBC Kit Expanding program, 5 JBC Kit Expanding program, 6 JBC Kit Do you require registration fees for any or all of the JBC robots you are requesting? (Required) Yes, I am requesting registration fees to be paid by the OERB.

No, my registration(s) is/are covered by my district or other funder. Please advise the # of JBC Kits you are requesting. (Required) Entire kit - robots, registration, mat, curriculum, and game pieces Registration, mat, curriculum, and game pieces only - select only if you have robots Please advise what Botball materials you require.

(Required) New to program, full Botball kit and our team needs a table. New to program, full Botball kit but I do not need a table. Returning to program, registration fees only (this option also includes supply kit).

You selected Engage Learning, please select the one that best describes your school. (Required) My school is new to Engage Learning STEM Maker Camps. My school is returning to Engage Learning STEM Maker Camps but has not participated in the new Impact Model.

My school is returning to Engage Learning STEM Maker Camps and has participated in the new Impact Model. NOTE: Please select each option for addition explanation. If you still have a question about which one to select, reach out to Lisa Schwarz at Lschwarz@oerb.

com prior to submitting your application. You are new to Engage Learning STEM Maker Camps. If awarded, your school would receive the following.

Please review and confirm this is the correct option: (Required) If awarded, the grant would provide your school with 15 hours of Engage Learning virtual instructor-led programming (with the classroom teacher remaining in the classroom during each session), scheduled based on the teacher’s availability. The grant would also include all materials needed to host the camp, along with the additional 3D printing component.

At the conclusion of the camp, the school will retain ownership of all program supplies, curriculum, and materials for future use. You are new to Engage Learning STEM Maker Camps Impact Model. If awarded, your school would receive the following.

Please review and confirm this is the correct option: (Required) If awarded, the grant would provide your school with 15 hours of Engage Learning virtual instructor-led programming (with the classroom teacher remaining in the classroom during each session), scheduled based on the teacher’s availability. The grant would also include all materials needed to host the camp, along with the additional 3D printing component.

At the conclusion of the camp, the school will retain ownership of all program supplies, curriculum, and materials for future use. As a returning Engage Learning STEM Maker Camp Impact Model participant, if awarded, I am requesting: (Required) the supplemental 3D printing component of the program. Our school will provide all instruction and materials.

the 15-hours of Engage Learning virtual instructor-led learning (with the classroom teacher remaining in the classroom during each session), scheduled based on the teacher’s availability AND the supplemental 3D printing component of the program. Our school will provide all materials. NOTE: Please read carefully and select the option that best meets your schools needs.

If you have a question about which one to select, reach out to Lisa Schwarz at Lschwarz@oerb. com prior to submitting your application. You selected SAM Labs, please select the one that best describes your school.

(Required) My school is new to SAM Labs. My school is returning to SAM Labs. If awarded, grant would provide funding for licensing and warranty only.

What robotics programs are you requesting funds for? (Required) Other Robotics Program Grant Name of specific Robotics Program you plan to bring or expand at your school. (Required) Name of the specific Drone program you plan to bring or expand at your school.

(Required) Name of STEM Program you plan to bring or expand at your school. (Required) Please provide specific details about the grant you are requesting and why you feel it should be considered for funding. (Required) Summarize in 500 words or less.

How will the program or technology purchased with grant funds impact students and instruction during this academic year? Make sure to include the # of students you anticipate reaching. (Required) Summarize in 500 words or less.

What is the total cost to bring this program to your school? (Required) Enter a specific dollar amount. Ranges (e.g., $500–$1,000) will not be considered.

How much funding are you requesting from the OERB? Should not be greater than the total cost to bring the program to your school. (Required) Enter a specific dollar amount.

Ranges (e.g., $500–$1,000) will not be considered. What is the total cost for this event? (Required) How much funding are you requesting from the OERB?

(Required) Enter a specific dollar amount. Ranges (e.g., $500–$1,000) will not be considered. If you are not requesting full funding, please list the other businesses or organizations supporting your efforts and the total amount of funding secured.

Name of Funder Amount Provided by Funder Use one line per funder / amount funded. Do any of your current funders (or will any future funders) have a mission or message that may conflict with OERB’s mission or the oil and natural gas industry either directly or indirectly? (Required) If none, enter No. If yes, please provide as much information as possible.

Does your proposal include pre-defined sponsorship levels? (Required) Yes, I would like to outline those below. Yes, please see my attached document.

Use the upload option at the end of the form. No, we do not have pre-defined sponsorship levels. Please share the different support levels.

(Required) Sponsorship Level (e.g. Silver, Gold) Sponsorship Cost ($ amount) How will the people of Oklahoma Oil and Natural Gas be recognized for providing this funding? (Required) Do you have any restrictions or guidelines on what can be promoted by us as a grant sponsor? (Required) Please outline any obligations or deliverables expected of the OERB tied to the sponsorship, if any.

(Required) (e.g. email OERB logo to designated person (please include email address)) Please include any attachments that you would like to include as part of our consideration for your request. Accepted file types: pdf, jpg, png, Max. file size: 10 GB.

Consent and Acknowledgment Connecting Students to Industry Support (Required) By entering your name and date below, you agree to incorporate age-appropriate Petro Pros with Leo videos or a Day in the Life video that most closely aligns with this request into my instruction, so students understand who is providing the funding and the industry supporting their learning.

Consent and Confirmation Statement (Required) By entering your name and date below, you confirm that all information provided is accurate and complete to the best of your knowledge.

You understand that any items, equipment, or materials purchased with funds from this grant become the property of the school or school district for which this application is submitted, and must be used to support educational purposes in alignment with the goals of the grant.

You agree to comply with all grant guidelines and reporting requirements, and you acknowledge that misuse of funds or misrepresentation of information may result in forfeiture of the grant and/or the return of awarded items or funds.

Conflict of Interest Acknowledgment (Required) By entering your name and date below, you agree to immediately notify the Oklahoma Energy Resources Board (OERB) if a new funding partner, sponsor, or organizational affiliation is established that may conflict with the mission of the OERB and/or the oil and natural gas industry, whether directly or indirectly.

You understand that failure to disclose such information may impact current or future funding and may result in withdrawal or reassessment of awarded support.