New Mexico Space Grant Consortium

First Name:
Last Name:
e-mail:	sample-applicant@example.com
Alternate e-mail:
Current Address:			Permanent Address:
City:			City:
State:	AK AL AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY Zip:		State:	AK AL AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY Zip:
Phone:	( ) -
Birthdate:

High School you graduated from:
University:	At what New Mexico Space Grant university will you enrolled during the period of this award? Eastern New Mexico University Navajo Technical University New Mexico Highlands University New Mexico Institute of Mining and Technology New Mexico State University Northern New Mexico College Southwestern Indian Polytechnic Institute University of New Mexico Western New Mexico University
Major:
Will you be enrolled full time?	Yes No
Current University Status:	Senior Masters PhD
Expected Graduation Date:

Educational History:

List the universities that you have attended beginning with the institution you are currently attending. Other than your current institution only list colleges or universities where you earned a degree. Please upload a PDF version of your transcript for each college/university (unofficial transcripts will be accepted.) If you are selected to receive this award, you will be required to submit your official academic transcript for verification. You will also be required to submit your Student Detailed Schedule at the beginning of the awarded semester. 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 or Expected Graduation	GPA (4 pt scale)	Transcript (PDF Format)
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate			File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate			File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate			File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate			File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate			File Upload

What is the highest degree you would like to attain in the future? Masters Doctorate

What would be your probable field of study for this degree? Aeronautical/Aerospace Agricultural Anthropology Architectural Architecture Art Astronomy Astrophysics Atmospheric Science Biochemistry Bioengineering Biology Botany Chemical Chemistry Civil Climatology/Meteorology Computer Computer Science Earth Sciences Economics Education Electrical/Electronic Engineering Engineering Mechanics Engineering Science Environmental Environmental Science Geography Geology Geophysics Health Science/Nutrition History Industrial Life Sciences Materials Science/Engineering Mathematics Mechanical Medicine/Medical Research Mining/Petroleum & Natural Gas Molecular/Cell Biology Nuclear Oceanography Other Philosophy Physical Sciences Physics Planetary GeoSciences Planetary Sciences Political Science/Public Policy Psychology Social Sciences Sociology Zoology

After completing your studies, where do you plan to work? Private Industry Teaching (K-12) NASA Non-NASA Federal Agency State/Local Government Nonprofit Organization Military Consulting Undecided Other

Name:
Title:
Institution:
Phone:
email:
email confirm:
	Once you have submitted your application we will email your Research Advisor instructions on how to submit an on-line letter of recommendation on your behalf. Please inform your Advisor he/she will be receiving an email from notices@spacegrant.net with these instructions. The email may go to their spam/junk folder. Letters of recommendation are due by Monday, April 15, 2024.

Title:

Describe your Graduate Research Fellowship project. Include a description, start and end dates, intended results. Describe the role of your faculty mentor for the project. Faculty relationships are important in developing your research strengths.
(300 words or less)

Identify which NASA Mission Directorate/s and project or research program that is related to your research. Describe how your research is related to a NASA project, or research program. This is the most important part of your application, make sure your project demonstrates a clear, specific description of how what you want to do relates to a NASA Directorate program or need.
(300 words or less)

Describe your career and research interests in space, Earth and/or aerospace-related science. This interest is the start of a research journey. Your project is a way to learn more about yourself as a researcher and your interests in NASA.
(300 words or less)

Describe any relevant work or co-op experience, academic awards, and/or honors.
(300 words or less)

List and all past or present financial aid (scholarships, grants, loans, etc.)
(150 words or less)

The following information is for reporting purposes only.

Gender:	Male Female Do not wish to report
Ethnicity:	Hispanic or Latino Not Hispanic or Latino Do not wish to report
Race:	American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Do not wish to report
Person With Disability:	Yes No Do not wish to report
Veteran:	Have you served in the United States military? Yes No
First Generation:	Are you a first-generation college student? Yes No

• U.S. Citizenship
• Full-time enrollment during award period (minimum of 9 credit hours/semester)
• Major in STEM field
• Minimum 3.0 Cumulative GPA

• Must be working on a research project of interest to NASA's mission directorates
• Must have a faculty advisor
• Must present research results at the Annual Virtual Student Research Colloquium
• Must complete 10 hours of community service
• Must notify NMSGC if ineligible
• Provide short-video testimonial if requested by NMSGC office

Obligation to the Government:

Students receiving support and aid under a NASA training grant do not incur any formal obligation to the Government of the United States. However, one objective of this program will be served if the students who participate in this program continue to direct their careers toward science and engineering so that they become part of the pool from which NASA draws its workforce in the future. Certifications:

I am a citizen of the United States of America

If awarded, I agree to release my contact information to the NMSGC Alumni Association and to allow them to contact me.

If awarded, I agree to annually update the NMSGC program office of my progress from award through first employment.

The above statements are true and correct and I give my consent to allow the information provided to be reviewed by the awards panel. I also give my consent to have all information given verified and released to NASA. If awarded, I will notify the New Mexico Space Grant Consortium if I fail to maintain eligibility during the semester(s) in which I am an award recipient. I will maintain annual contact with the New Mexico Space Grant Consortium from award to initial employment.