Please Note: This is a sample application for viewing purposes only. To apply to this program please visit the application "New User Registration" page and register with the system.




Sponsor: Pennsylvania Space Grant Consortium

Program: Undergraduate Research - Student Application

Note: Application is open to PSU students only
Personal Information
First Name:
Last Name:
Penn State e-mail:john.doe@nonexistentbox.com
Alternate e-mail:
9-digit Penn State Student ID Number:
Local Mailing Address:
,  
Permanent Address:
,
Birthdate:
Do you qualify for economic hardship assistance? Yes    No
If I am selected for this program Pennsylvania Space Grant may use my likeness on websites, etc. to promote NASA Space Grant programs.

How did you hear about the Undergraduate Research - 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
Ethnicity:
Race:
Person With Disability:Yes No
First-Generation College Student:Yes No
Father's Education: What was the highest level of education of your father/step-father/male guardian?
Mother's Education: What was the highest level of education of your mother/step-mother/female guardian?
Sibling's Education: What was the highest level of education of your older sibling (currently)?
Educational Information
Major:
Minor (if applicable):
University:Penn State - UP
College:
Department:
Current standing:
University GPA: Required if you have completed at least one semester at your university
I have not yet completed one semester at a university.
SAT Score: Combined total score
ACT Score: Combined total score
University Transcript:
(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? 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)

Program

Which program(s) within the undergraduate internship program do you qualify for? Make sure you qualify by reading the description. 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.

Research Laboratories
Please select 1-3 labs in order of preference. Note: If you pick only one lab and we are unable to place you there, you will not have the opportunity to participate in the program. The more choices you select, the more likely you are to be placed in a lab. For a description of available participating labs, please visit https://sites.psu.edu/wisermurefurp/.





Certification

I certify that:

Please Note: This is a sample application for viewing purposes only. To apply to this program please visit the application "New User Registration" page and register with the system.