NASA Student Internship

First Name:
Last Name:
e-mail:	sample-applicant@example.com
Address:
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:
Phone:	-
Curriculum Vitae/Resume:	File Upload (PDF format only)

University:	What South Carolina Space Grant University will you be attending in the Fall? Benedict College Clemson University Coastal Carolina University College of Charleston Francis Marion University Furman University Lander University Orangeburg-Calhoun Technical College South Carolina State University The Citadel The Medical University of South Carolina Trident Technical College University of South Carolina University of the Virgin Islands Wofford College
Department:
Current University Standing:	Freshman Sophomore Junior Senior
Major:
GPA:	(4 Point Scale)
Credit Hours:
University ID:
Transcript (Unofficial or Official):	File Upload
Educational History:	List the universities that you have attended not including the degree that you are currently working on. Please upload a PDF version of your transcript. If you are selected to receive the award, official transcripts may 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	Credit Hours	Transcript
			File Upload
			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? 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? Private Industry Teaching (K-12) NASA Non-NASA Federal Agency State/Local Government Nonprofit Organization Military Consulting Undecided Other

NASA/STEM Internship Program Applied To:
	Please note that this application does not submit your information to NASA/STEM internship programs; it is merely to let us know that you have applied to and need funding for one of these internship positions. Without this application, you will not be eligible for SCSGC funding. So fill out this one as well as the NASA/STEM one of interest. For a list of those, check out https://intern.nasa.gov/.
Internship Essay:	File Upload (PDF format) This essay can be the application essay submitted for the NASA/STEM internship program. Also, include a segment (500 words or less) that describes your past activities, current interests, and future plans, as well as, how this internship will benefit your future career plans.

Title:
Name:
Institution:
Department:
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 them that they will be receiving an email from notices@spacegrant.net with these instructions. Letters of recommendation are due by Sunday, July 7, 2024.

Gender:	Male Female
Birthdate:
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
U.S. Citizenship:	I am a citizen of the United States of America. Yes No
First Generation:	Will you or your siblings be the first in your family to graduate from college? Yes No
Free or Reduced Lunch:	Did you qualify for subsidized school lunch? Yes No
Military Service:	Have you ever served in the U.S. military? Yes No

Photo Release:	File Upload (PDF format) By uploading this Photo Release Form, you give NASA and the SC Space Grant Consortium permission to use your photo on the website, in marketing tools, and other public forums. Please do NOT submit a photo. Sign and upload the Photo Release Form.
Information Release:	I give permission to NASA and the SCSG to post my full name and award type online. Yes No
Certification:	I certify that all of the information in this application is correct and that I meet all of the eligibility requirements stated. Yes No