Pennsylvania Space Grant Consortium Application System

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

Note: Application is open to PSU students only

Personal Information

First Name:
Last Name:
Penn State e-mail:	abc123@psu.edu
Alternate e-mail:
9-digit Penn State Student ID Number:
Local Mailing Address:
	Local Address City , Local Address State Local Address Zipcode
Permanent Address:
	Permanent Address City , Permanent Address State Permanent Address Zipcode
Birthdate:
	Do you qualify for economic hardship assistance? qualify for economic hardship assistance Yes Do not qualify for economic hardship assistance No
	How did you hear about the WISER \| MURE \| FURP Undergraduate Research Internship Program Student Application?

Optional Information

The following information is used only for program eligibility and program evaluation and is not considered in the application evaluation process.

Gender:	Male	Female	Do not wish to report
Ethnicity:	Hispanic or Latino	Not Hispanic or Latino	Do not wish to report
Race (select all that apply):	American Indian or Alaska Native	Asian	Black or African American
	Hispanic or Latinoo	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	Vision
	Hearing	Paralysis	Missing Extremities
	Other Impairments	I have a disability, but it is not listed Specify if not listed:

Educational Information

Major:
Minor (if applicable):
University:	Penn State - UP
College:
Department:
Current standing:	You are considered a first year student for this internship if you have 29 or fewer credit hours received from PSU (or transfered from any outside institution). We do not count AP credit hours in this calculation. Students applying as a Sophomore or Junior need to qualify and apply through the MURE pathway.
University GPA:	Required if you have completed at least one semester at your university I have not yet completed one semester at a university.
University Transcript:	File Upload (PDF format) Please upload your university transcript. If you have not completed one full university semester please upload your high school transcript. Official transcripts are not required.
Math Proficiency:	Name of the highest mathematics course: Grade earned in that mathematics course:
Science Proficiency:	Name of the highest science course: Grade earned in that science course:
	Are you a Schreyer Honors College Scholar? Honors Scholar Yes No

Essays

Describe your perceptions of research and why you feel the WMF program will benefit you.
(150 words or less)

What previous experiences or skills do you have? (e.g. previous lab experience, special computer program familiarity, personal strengths or qualities)
(150 words or less)

(Optional) Briefly describe a significant challenge that you have overcome during the pursuit of your educational goals. You may also use this space to discuss anything else that you would like us to consider when evaluating your application.
(200 words or less)

Program

Which program(s) within the undergraduate internship program do you qualify for? Note: selecting more than one program does not increase your chances for selection. All three programs are part of the main PA Space Grant Research Internship program.

WISER: Women in Science and Engineering Research. Open to all first-year students but focuses on supporting outstanding women interested in pursuing research on campus.

MURE: Minority Undergraduate Research Experience. Supporting underrepresented minority students interested in pursuing research on campus that are in their first-year, sophomore, or junior years. Minority students are defined as African-American, Hispanic, Native American, or Pacific Islander. Students of Asian descent are not considered minority students by NASA.

FURP: First-year Undergraduate Research Program. Open to all first-year students interested in research; those with economic hardship are encouraged to apply.

Research Laboratories

Please select 1-3 labs below in order of preference. We recommend selecting at least 2 labs that interest you. If you select only one lab and we are unable to place you there, you will not have the opportunity to participate in the program. For a description of available participating labs, please visit https://sites.psu.edu/wisermurefurp/labs/.

Certification

I certify that:

I am a citizen of the United States of America

I am or will be a full-time undergraduate student during the academic years 2024-2025.

If awarded a laboratory experience, I agree to provide PSGC information about my studies and/or employment on request beyond the term of the award. (This is part of a NASA requirement to track the long range effectiveness of the scholarship program.)

I authorize The Pennsylvania Space Grant to record on film, tape, and/or other media my image, name, likeness and presentation and to use these for educational purposes through such transmissions and distribution as radio and television broadcast, various other media of electronic distribution such as cable, internet, videodisc, cassette and satellite, non-theatrical film distribution and print. You may use my name, likeness and biographical information for promotion and publicity of the resulting publication.

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