New Mexico Space Grant Consortium

First Name:
Last Name:
e-mail:	sample-applicant@example.com
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 be enrolled during the period of this award? Dona Ana Community College 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 Northern New Mexico University San Juan Community College Santa Fe Community College Southwestern Indian Polytechnic Institute University of New Mexico Western New Mexico University
Current University Status:	Sophomore Junior Senior Masters Student Doctoral Student
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 at least 10 credit hours. Please upload a PDF version of your transcript for each college/university. If you are selected to receive this 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	Last Date Attended	GPA (4 pt scale)	Transcript
		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? Bachelors Masters Doctorate

What would be your probable field of study for this degree? Choose Discipline 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? Choose One 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 them instructions on how to submit an on-line letter of recommendation on your behalf. Please inform your faculty member that they will be receiving an email from notices@spacegrant.net with these instructions. Letters of recommendation are due by Wednesday, April 12, 2023.

Pre/In-Service Teaching Term:	Fall Semester - Student Teacher Full Academic Year - In-Service Teacher
Pre/In-Service Teaching School:	(if known -- this must be submitted before receiving funds)
Pre/In-Service Teaching School Address:	, 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
Principal's Name:	(if known -- this must be submitted before receiving funds)
Principal's Phone Number:	(if known -- this must be submitted before receiving funds)
	Scholarship applicants must develop a science or math Integrated Resource Unit Plan referencing NASA-unique materials, resources, and assets. Pre-service teachers submit one Integrated Resource Unit. In-service teachers submit two Integrated Resource Units. (See below for details)
Integrated Resource Unit Title(s):
Resource Unit(s):	PDF: File Upload or URL:
	How will you use this resource while teaching? (300 words or less)

The following information is for reporting purposes only.

Gender:	Male Female
Ethnicity:	Hispanic or Latino Not Hispanic or Latino
Race:	American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Person With Disability:	Yes No

• At the end of your student teaching semester please submit a 1 page summary of how the unit went and changes you would make when teaching the unit again. Address these questions in your summary:
  1. What do I think the students learned?
  2. How do I know this?
  3. What went well and why?
  4. What I would do differently and why?
  5. What I learned about NASA as an educational resource?
  
  
• As soon as possible provide NMSGC with the name of your school where you will be doing your student teaching, contact information for the school, name and contact information of your cooperating mentor teacher, and name and contact information of your university supervisor.

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.

Integrated (Science or Math) Resource Unit Plan (5 Integrated Lessons):

Design an integrated science or math resource unit plan consisting of five lessons that introduces students (in any targeted elementary or secondary grade level) to science or math phenomena. The Resource Unit Plan must leverage the impact of NASA's advances, discoveries, and/or challenges as a source of inspiration and inquiry for students. The resource unit plan will include key science/math concepts, generalizations, and inquiry-based science/math activities appropriate for the grade level addressed. Effective learning occurs from hands-on/minds-on experiences and the unit is designed to reinforce a concept. For instance, you can address the interrelatedness of science concepts from life, earth, space, and the physical sciences. For NASA education resources see https://www.nasa.gov/education/resources

You can use any lesson plan format you would like, but each lesson must have: Learning objective/s, clear instructional processes, short description of classroom discourse and learning environment, type of NASA materials/resource to be used, and assessment of student responses. At the end of the semester you will be required to submit a unit reflection and proof that you taught the unit. See below for details and applications assessment criteria.

Each application submitted under the New Mexico Space Grant Consortium STEM Education Scholarship will be evaluated by experts in Space, Aerospace, Aeronautics, and education fields. Sufficient information must be provided by the applicant to allow the reviewer/s to make an informed judgment.

Scholarship Assessment Application Criteria

Learning Objective/s: 15%
Each of the five lesson must have learning objective/s. What is the purpose of your lesson? An understanding, attitude, appreciation? A concept? A skill? Ability? State specifically what you intend to have your students achieve, present, or demonstrate. Instructional goals and objectives reflect state standards and benchmarks (and/or NGSS, CCSS for Math) and are clearly stated; learners are clear in what is expected and what is to be learned.

Instructional Process/es: 20%
What teaching method(s) will most likely bring about the desired understanding, concept, skill(s), abilities, etc. Each of the five lessons are clearly sequenced and with appropriate transitions. Instructional processes are appropriate for the stated objectives. Instructional processes build upon each other and clearly support student understanding. Include a learning cycle such as a the 5Es as your instructional process for each of the lessons (see NASA 5Es description https://goo.gl/iqAGPC)

Classroom Discourse: 15%
Teacher-talk (language tools and use) values and extends students' language, and has the potential to enhance students' intellectual, academic, emotional, and social language development. Language tools can include, but are not limited to: oral, written, visual, kinesthetic, media, and technology. Language tools and usage are clear and understandable to the students. Language and tools are used to spur inquiry and interest with the lesson that extends students' language. The unit is linguistically and multiculturally responsive to language, gender and cultural differences; and addresses the anticipated needs of diverse learners.

Classroom Learning Environment: 15%
How will you organize your classroom so that your students achieve your stipulated objective(s)? Whole class, small groups, individual, team learning, learning centers, individual centers, and group projects? Student arrangement and classroom environment is optimized for creating meaningful learning.

NASA Materials/Resources: 20%
Each lesson within the unit must refer to NASA materials and/or research as you relate these to the concept/s address in the lesson. What NASA materials and otherwise must students use to attain the objective(s)? Materials and resources are safe and appropriate for the task(s). Materials and resources are easily accessible to teacher and students.

Assessment of Student Responses: 15% What procedures, tools, and/or instruments will you use to determine if your students met the learning objective(s)? Different assessments are used: diagnostic, formative and summative. Keep in mind that objectives, assessment and instruction are aligned with each other. Assessments are interrelated and appropriate to achieve the learning objectives.

Integrated Resource Unit Plan Reflection Prompts & Proof of Unit Taught (Final Report)
Toward the end of your student teaching semester and/or school year you need to submit to NMSGC a reflection of the unit you taught. Each of the questions below can be answered in a paragraph or two.

1. What do I think the students learned?
2. How do I know this?
3. What went well and why?
4. What I would do differently and why?
5. What I learned about NASA as an educational resource?

Student Teacher (your name) taught the unit plan titled _______________ during the spring or fall semester of (year). Cooperating teacher name and signature. Cooperating teacher comments: