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

Sponsor: Pennsylvania Space Grant Consortium

Program: Pennsylvania Space Grant Consortium Undergraduate Scholarship Program

Pennsylvania Space Grant Consortium Undergraduate Scholarship Program

PSGC will award one-year scholarships in the amount of $4000 per academic year. Applicants must be enrolled as full-time students at an accredited Pennsylvania college or university with outstanding academic records. Applicants must be U.S. citizens, rising juniors or seniors enrolled in science, technology, engineering, or mathematics and likely to pursue a career in an area of interest to NASA, with demonstrated potential for graduate study. Past recipients may apply for a second year.
Personal Information
First Name:
Last Name:
College or University
Alternate E-mail:
Local Address:
Permanent Address:

How did you hear about the Pennsylvania Space Grant Consortium Undergraduate Scholarship Program?
Demographic Information
Students are strongly encouraged to provide the information requested below which is for reporting purposes only.
Gender:Male Female
Person With Disability:Yes No
Educational Information
Institution (currently attending):
If other, please specify:
Minor (if applicable):
College: (Penn State Applicants Only)
Degree Sought:
Expected Date of Graduation:
Current Cumulative GPA:
Transcripts: Please upload a PDF version of your transcripts from universities or colleges where you received a degree. Submitted transcripts may be unofficial. Renewal applicants are only required to submit transcripts from their current institution. 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 transcripts may be properly included in your application file, please ensure that they are not protected via encryption, a password, a signed certificate or in any other manner.
Transcript 1:
Transcript 2:
Transcript 3:
Transcript 4:
Transcript 5:
Transcript 6:
Two letters of recommendation are required by your department or program head, faculty member, and/or an advisor. Reference letters are due by Sunday, March 3, 2019.
Reference #1
Office Address:
State and Zip Code:
Email confirm:
Reference #2

Once you submit your application both of these individuals will receive an email requesting their letter. Your application will not be complete until this information has been received. Please inform both of these individuals that they will receive an email request from for this information on your behalf. Letters of recommendation are due on Sunday, March 3, 2019.
Program Specific Questions
Career Statement
Describe your research project and/or plan of study to include your academic and career goals
(500 word limit)

NASA Relevance
How does your academic and career goals contribute to the NASA mission "to pioneer the future in space exploration, scientific discovery, and aeronautics research?"
(500 word limit)

Service, Experience, Honors
List and briefly describe your community service, extra-curricular activities, research/work experience, awards and/or honors.
(500 word limit)

NASA Awards
Have you previously received any other NASA support or funding, including prior PSGC scholarship? If so, please list the program and your experience Yes    No
(250 word limit)

Optional: Education Outreach
Space Grant Scholars are required to participate in mentoring or educational outreach activities for a minimum of ten hours per semester. Briefly describe and explain any past outreach experience you may have. How will you contribute to education outreach as a Space Grant Scholar?
(250 word limit)

Optional: Personal Challenges
Briefly state any significant challenges that you may have experienced in pursuing your educational goals. Please do not provide personal details but rather emphasize how the challenge(s) impacted your educational career.
(250 word limit)

Optional: Additional Comments
Is there anything else that you would like the committee to consider when evaluating your application? (250 words or less)

Verification of US Citizenship: I am a citizen of the United States of America
Certification: 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.
Longitudinal Tracking: I agree to participate in the NASA Longitudinal Tracking program designed to survey student progress from award through employment outcomes to help assess program effectiveness.

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