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 Claflin University Clemson University Coastal Carolina University College of Charleston Francis Marion University Furman University Lander University Presbyterian College South Carolina State University The Citadel The Medical University of South Carolina 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

Project Title:
Research Term:	Academic Year Summer
Interest Essay:	Description of why you are interested in this internship (no more than 2 pages-references not included in page count). Please Include: Define sustainability Relevance to NASA How information and experience gained from this internship may contribute to SC energy needs File Upload (PDF format)
Interest Essay:	Write an essay (500 words or less) that describes your past activities, current interests, and future plans. File Upload (PDF format)
Mentor Approval:	I certify that my research mentor has approved the provided research proposal.

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 Thursday, February 8, 2024.

Gender:	Male Female Do not wish to report
Ethnicity:	Hispanic or Latino Not Hispanic or Latino Do not wish to report
Race:	American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Do not wish to report
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:
Birthdate:
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