Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.

Student Team Leader Information
First Name:
Last Name:
e-mail:sample-applicant@example.com
Address:
City:
State: Zip:
Phone: -
Proposed Project
Describe the research 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.)
Budget Template and Written Justification
File Upload
(PDF format only)
Student Team
Identify all students participating in this project. If there are more students on the team than space allows, please ______.
Student's First and Last Name University Major Current Standing email address
References
Campus Representative
Title:
Name:
Institution:
Department:
Phone:
email:
email confirm:
Mentor/Major Professor
Title:
Name:
Institution:
Department:
Phone:
email:
email confirm:
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 Saturday, November 12, 2022.
Certifications
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.
Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.