Oregon NASA Space Grant Consortium

Awards are offered in the following categories. Select the discipline in which you are currently enrolled.

Award Category:

STEM Education: Preparation to be a classroom teacher or an informal educator in a STEM field. Life Science: The study of living organisms-includes biology, anatomy, astrobiology, zoology, botany, microbiology, physiology, biochemistry, neuroscience, and other related areas. Physical Science: The study of non-living organisms-includes physics, astronomy, chemistry, earth science. Mathematics Engineering and Technology Non-STEM field with a significant connection to aerospace or space science (community college and undergraduate programs only)
Please indicate the specific field:

• Student is enrolled in a minimum of 6 credit hours per term at an affiliated community college during the 2023-2024 academic year.
• Student is enrolled in a STEM field, STEM education coursework, or a non-STEM field with a significant connection with aerospace or space science.
• Student maintains good academic standing.
• Student is a U.S. Citizen.

First Name:
Last Name:
e-mail:	sample-applicant@example.com
Alternate e-mail:
Verification of US Citizenship:	I am a citizen of the United States of America
Local Address:
	Local Address City , Local Address 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  Local address zipcode - Local address zipcode + 4 ZIP Code +4 Lookup
Permanent Address:
	Permanent Address City , Permanent Address 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  Permanent address zipcode - Permanent address zipcode + 4 ZIP Code +4 Lookup
Cell Phone:	(cell phone area code ) cell phone prefix - cell phone suffix
Birthdate:
Residency:	Oregon Other

	What Oregon Space Grant Institution will you be attending in the Fall? Lane Community College Linn Benton Community College Oregon Coast Community College Portland Community College Southwestern Oregon Community College
Academic Standing:	Freshman Sophomore Junior Senior At the beginning of the Fall 2023
Major:
Expected Date of Graduation:
Cumulative GPA::	(for all subjects, 4 pt scale)
GPA within major::	(4 pt scale)
Transcript:	File Upload (PDF format) An unofficial transcript printed from the student account of the college or university website is acceptable. If you are selected to receive this award, official transcripts may be required for verification.

The letter should specifically address your qualifications and merit for this scholarship.

First Name:	Reference first name
Last Name:	Reference last name
Title:	Reference title
Institution:	Reference institution
Phone:	Reference phone
email:	Reference email
email confirm:	Reference email confirmation

Once you have submitted your application this individual will received an email requesting their supporting material. Your application will not be complete until this information has been received. Please inform this individual that they will receive an email request from notices@spacegrant.net for this information on your behalf. The deadline for submission of the letter of recommendation Friday, June 16, 2023. Submit an essay that includes the following: (1-2 pages, single spaced, no more than 12 pt font)

1. What are your interests in STEM and what areas would you like to explore in your academic career?
2. Describe your current STEM identity and how this scholarship will contribute to building that identity.
3. STEM (science, technology, engineering, and mathematics) identity has been defined as the way people make "the concept of fitting in within STEM fields, specifically, the way individuals make 'meaning of science experiences and how society structures possible meanings'" (Carlone and Johnson 2007, Hughes et al. 2013).
4. How do your academic interests relate to the NASA vision and substantively align with one or more of the NASA Mission Directorates? See Appendix A. Agency Information and Strategic Framework. For a detailed description of NASA's mission, history, and future plans, visit the following NASA website: http://www.nasa.gov/about/highlights/what_does_nasa_do.html
5. If you are a non-STEM student, describe how your field of study and interests are significantly connected to aerospace or space science.
6. Include other information that you believe qualifies you for scholarship consideration. This may include extracurricular activities, awards, volunteer opportunities, soft skills, challenges, personal journey, etc.

Essay:
(PDF Format) Students are strongly encouraged to provide the information requested below which is for reporting purposes only.

	How did you hear about the OSGC Dr. Nancy Squires Memorial Scholarship - Community College?
Gender:	Female Male Do not wish to report
Ethnicity:	Hispanic or Latino Not Hispanic or Latino
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:	I do not have a disability I do not wish to identify my disability status Hearing Vision Missing Extremities Paralysis Other Impairments I have a disability, but it is not listed Specify if not listed:

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.