North Carolina Space Grant

University:

What North Carolina institution of higher education will you be attending in the Fall?

Department:

Major:

Second Major/Minor:

Current Degree Track:

MA/MS PhD

University Standing as of Spring 2024:

Expected Date of Graduation:

Educational History:

List the universities that you have attended beginning with the institution you are currently attending. Other than your current institution, only list universities where you have received a degree. Please upload a PDF version of your transcript. If you are selected to receive the award, official transcripts will 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	Degree	Date Awarded	GPA (4 pt scale)	Transcript
Most Recent					File Upload
Previous					File Upload
Second Previous					File Upload
Third Previous					File Upload

First Name:
Last Name:
e-mail:	sample-applicant@example.com
Alternate e-mail:
Address:
	City State Zip Code Zip Code + 4 , - ZIP Code +4 Lookup
Text messaging:	Send applications updates via text message
Cell Phone:
Congressional District:	To find your Congressional District visit the House of Representatives Website. If your permanent home address is out of state please choose the congressional district for your school.
Verification of U.S. Citizenship:	I am a citizen of the United States of America

	Research Mentor
Name:
Title:
Institution:
Department:
Address:	Address Line 2
City:
State and Zipcode:	State
Phone:
email:
email confirm:

Title:
	Research Interests, Goals, and Anticipated Findings. In your own words describe the research project that you will be conducting, the purpose of the research, and the anticipated results. File Upload
	Research Plan. The description should include but not be limited to a description of the research, start and end dates, critical benchmarks and milestones, and how you will work with your research mentor for the term of the award. File Upload
	Alignment of Research to NASA Mission Directorates and the NC Space Grant Strategic Plan. Identify which NASA Mission Directorate that your research projects aligns with and describe how your research will contribute to the mission of that Directorate. Describe how your research project supports the NC Space Grant mission and strategic plan. File Upload Primary NASA Mission Directorate Alignment: Secondary NASA Mission Directorate Alignment:
	Career Impact. What are your career interest? Describe how this research project will be a springboard to pursuing your career interests. What new skills or information will you obtain that will impact your pursuits? File Upload
Project Location and Term
	My research mentor has read and approved this project description and has agreed to supervise me while I conduct this research.
	I understand that my research mentor will ask me to report on my research activities at the end of the academic year.

Gender:	Male Female
Ethnicity:
Race:	American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Do not wish to report
Birthdate:
Person With Disability:	I do not have a disability I have a disability I choose not to disclose
Birthdate:
	How did you hear about the NC Space Grant Graduate Research Fellowship Program?