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

Sponsor: South Carolina Space Grant Consortium

Program: STEM Outreach Award

Personal Information
First Name:
Last Name:
State: Zip:
Phone: -
Curriculum Vitae/Resume:
(PDF format only)
Educational Information
University: What South Carolina Space Grant University will you be attending in the Fall?
Current University Standing:
GPA: (4 Point Scale)
Credit Hours:
University ID:
Transcript (Unofficial or Official):
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
Outreach Project
Project Title:
Project Term:
Proposal: In 2 pages or less that describe your intended outreach project. Please Include:
  • A general outline of the project
  • Methods to be used
  • Goals/results envisioned for research
(PDF format)
NASA Relevance: We require that all of our projects involve NASA-related research. Currently, all research at NASA falls within one or more of their 4 Mission Directorates. Please select the NASA Mission Directorate that best fits your project.

  • Aeronautics Research: Enable a safer, more secure, efficient and environmental friendly air transportation system
  • Human Exploration and Operations: Operate the International Space Station and prepare for human exploration beyond low Earth orbit.
  • Science: Exploring the Earth-Sun system, our own solar system, and the universe beyond.
  • Space Technology: Develop the crosscutting, advanced and pioneering new technologies needed for current and future missions, benefitting the aerospace industry and other agencies, and addressing national needs.

    For more details on NASA's mission directorates, please visit:

Interest Essay: Write an essay (500 words or less) that describes your past activities, current interests, and future plans.

(PDF format)
Mentor Approval:

I certify that my research mentor has approved the provided research proposal.

Project Faculty Advisor:
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 with these instructions. Letters of recommendation are due by Sunday, February 6, 2022.
Personal Information for office use only
Gender: Male Female
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
Other Information
Photo Release:
(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. The form can be accessed at 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
Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.