Sponsor: Arkansas Space Grant
Program: Arkansas Space Grant STEM Program Award
Personal Information
First Name: | |
Last Name: | |
e-mail: | sample-applicant@example.com |
Address: | |
City: | |
State: | Zip: |
Phone: | - |
Curriculum Vitae/Resume: |
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(PDF format only) |
Educational Information
University: |
What Arkansas Space Grant University will you be attending in the Fall? |
Department: | |
Current University Standing: | |
Major: | |
GPA: | (4 Point Scale) |
Credit Hours: | |
University ID: | |
Transcript (Unofficial or Official): |
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Educational History: |
List the universities that you have attended not including the degree that you are currently working on. Please upload a PDF version of your transcript. If you are selected
to receive the award, official transcripts may be required for verification.
If you do not have a PDF conversion tool you can use one of these free on-line PDF converters: PDF Online - PDF Converter. To ensure that your PDF files may be properly included in your application, please ensure that they are not protected via encryption, a password, a signed certificate, or in any other manner. |
College/University | Major | Credit Hours | Transcript |
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What would be your probable field of study for this degree?
After completing your studies, where do you plan to work?
Essays
Describe your research interest in space and aerospace-related science.(200 words or less.)
Describe the project that will be conducted. The description should include but not be limited to a description of the research, start and end dates, intended results.
(200 words or less.)
Identify which NASA Mission Directorate that your research supports and describe how your research will contribute to the mission of that Directorate.
(200 words or less.)
References
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Once you have submitted your application we will email them instructions on how to submit an on-line letter of recommendation on your behalf. Please inform them that they will be receiving an email from notices@spacegrant.net with these instructions. Letters of recommendation are due by Monday, February 13, 2023. |
Personal Information for office use only
Gender: | |
Birthdate: | |
Ethnicity: | |
Race: |
American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other |
Disability: |
I do not have a disability I do not wish to identify my disability status Vision Missing Extremities Other Impairments I have a disability, but it is not listed Specify if not listed: |
U.S. Citizenship: | I am a citizen of the United States of America. |
First Generation: | Will you or your siblings be the first in your family to graduate from college? |
Military Service: | Have you ever served in the U.S. military? |
Certifications
Photo Release: |
File Upload (PDF format)By uploading this file, you give NASA and the Arkansas Space Grant Consortium permission to use your photos on the website, in marketing tools, and other public forums. The form can be accessed at https://www.nasa.gov/sites/default/files/files/NASA_Adult_Media_Release_Form.pdf. |
I am a citizen of the United States of America | |
I am a full time student at an member institution | |
If awarded, I agree to provide , or its agents, information about my studies and/or employment on request beyond the term of the award (this is part of a NASA requirement to track long range effectiveness of the program) | |
I certify that all of the information contained in this application is complete and correct and that I meet all of the eligibility requirements stated in this application. |