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

Checklist of materials needed to complete the application:
  • Unofficial Transcripts
  • Two References (at least one faculty or administrator)
  • US Citizenship
  • Be at least 18 years of age
  • Attend a Virginia Community College
  • Must be a sophomore not graduating prior to May 2023
  • Taking a minimum of 6 credit hours
  • Be a STEM major (Science, Technology, Engineering or Math)
  • Minimum 2.5 GPA with references and activities demonstrating strong interest in STEM (NOTE: Students pursuing a technician track are encouraged to apply as well.)
Applicant Data
First Name:
Middle Name:
Last Name:
Alternate e-mail:
Address While at School:
,   - ZIP Code +4 Lookup
Text messaging: Send applications updates via text message
Cell Phone:
Alternate Phone:
Permanent Address:
, - ZIP Code +4 Lookup
School Information
Current Virginia Community College: Please spell out the full name of your school and do not use "The"
School Address:
, - ZIP Code +4 Lookup
School Phone:
Are you currently in a 2+2 program?      
If you are transferring to a 4-yr, which university will you attend?
Academic Standing: At the beginning of the Fall 2023
Degree Currently Pursuing:
Expected Graduation Date:
Academic Major:
Are you in a technical track?      
Cumulative GPA (including Fall 2022 grades): out of
Please explain GAP scale.
Transcripts: Please upload your unofficial transcripts as a single PDF file. Please make sure that your Social Security Number is NOT included as part of transcript information.
File Upload
(PDF format)
Preferred Areas of Research for NASA Langley Research Center (LaRC) and NASA Wallops Flight Facility (WFF)
All applicants may be considered for all proposed projects. Final projects will be determined by researchers based on the skillset demonstrated in the applicant pool. All projects will contribute to an ongoing effort or area of interest at the designated NASA Center.

We invite you to indicate your preferred areas of interest for consideration in the review and selection process. Please consult the STEM Takes Flight web site for a description of proposed projects for NASA LaRC and NASA WFF.

NOTE: It is possible that additional projects may be funded after the update of this application. In the event that happens, any and all applicants may also be considered for those additional opportunities.

NASA Langley Engineering Directorate Student Research Projects - Please select up to 3 (three) preferences.
Preference 1:
Preference 2:
Preference 3:

NASA Langley Research Directorate Student Research Projects - Please select up to 3 (three) preferences
Preference 1:
Preference 2:
Preference 3:

NASA Wallops Student Research Projects - Please select up to 2 (two) preferences
Preference 1:
Preference 2:

Supplemental Information
Do you have any relatives who work at NASA Langley Research Center or NASA Wallops Flight Facility?      
Note: Students will normally not be assigned to work in the same organization as relatives. Please also note that your answers to the "relative" question will not be factored into the selection process, but instead will be used only by placement officials in the event a selection is made.
Please indicate the name(s), at which NASA facility they are employed, and relationship to you.

How did you hear about STEM Takes Flight?

Which social networking site:
Please specify:

Please list all courses that you have taken in community college. Include AP classes taken in high school. Please do not indicate "see resume or transcript".
Please list computer hardware & software capability: i.e.-MATLAB; and any certificates
Statement of Goals:
Statement of goals, research experiences, technician experience, and other pertinent data should be included. Provide a personal statement, not to exceed 2000 words, addressing your personal goals (e.g. associate's degree, technician track, bachelor's degree, graduate degree, career aspirations). A description of supplemental information is encouraged (e.g. previous experience, related activities). Please note any STEM-related school projects, work/volunteer experiences, or programs in which you have participated.
(Limited to 2000 words)
Scholarships, Fellowships, and Awards
TitleLocationInclusive Dates

Academic Honors
TitleInclusive Dates

List any NASA or Virginia Space Grant sponsored programs in which you have participated. (i.e. NASA Internships, Fellowships and Scholarships (NIFS), Virginia Aerospace Science and Technology Scholars (VASTS), Building Leaders for Advancing Science and Technology (BLAST), Virginia Space Coast Scholars (VSCS), Virginia Earth System Science Scholars (VESSS), Pathways Flight Academies (PFA), NASA Pathways, NASA Aero Academy, STEM Takes Flight, or Commonwealth STEM Industry Internship Program (CSIIP))
ProgramNASA Center/LocationInclusive Dates

Other Internships, Co-ops, Related Research Work
Company/SchoolLocationInclusive Dates
Publications, Conference Proceedings, and Journal Articles Published (if applicable): Note: Additional citations may be listed on your resume.
Title of Article:
Volume and Page Numbers:

Title of Article:
Volume and Page Numbers:
Please upload a PDF copy of your resume. It should include education, relevant coursework, previous work or internship experience, significant accomplishments, and any other relevant information.
File Upload
(PDF format) To ensure that your resume is searchable by the system, please paste a text copy of your resume here.
Please provide the name, phone number, and e-mail address of two people who can be contacted to provide a letter of recommendation. One reference must be a faculty member or college administrator. Immediate relatives are discouraged as references. References provided may also be contacted by phone. Please confirm reference's email address before submitting application.
email confirm:
Relationship to you:
email confirm:
Relationship to you:
Once you have submitted your application, both of these individuals will receive an email requesting their supporting material. Your application will not be complete until this information has been received. Please inform both of these individuals that they will receive an email request from for this information on your behalf. The deadline for submission of reference letters is Monday, May 8, 2023.
Housing Request
Transportation and housing arrangements including but not limited to leases, rent payments, deposits, etc., are the sole responsibility of the student participants.
Enter initials acknowledging you have read and understand this statement. Enter Date:

Transportation: Students are strongly encouraged to bring their own vehicles, if possible. This provides more flexibility with regard to housing options as well as traveling locally while in the STEM Takes Flight Program.

Housing: At your request, Virginia Space Grant Consortium will share contact information among students who may want to pursue housing together. If interested in pursuing housing with other interns, please initial and date below providing permission to share your contact information.
Enter initials acknowledging you have read and understand this statement. Enter Date:

Choose Housing Option:

Do you have veterans's status?     
What branch?
Please upload a copy of your DD214
File Upload
Personal Information (Optional - for statistical purposes only.)
Note: Optional data will not be viewable by evaluator/researcher.

NASA requests the following information. Submission of this information is voluntary and will not be used for selection purposes. Students are strongly encouraged to provide the information requested below.
Are you the first family member to attend college?

*This includes, Chinese, Indian, Japanese, or Korean

**This includes any of the original peoples of Hawaii; the U.S. Pacific Territories of Guam, American Samoa, and the Northern Marianas; the U.S. Trust Territory of Palau; the Islands of Micronesia and Melanesia; and the Philippines.


  Specify if not listed:
Reasonable Accommodation Statement

Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
Please place a check in the box below indicating citizenship category:

Dual citizenship of what country?

Please enter your U.S. Naturalization number.

NASA will verify the citizenship of applicants. Non-citizens including permanent residents are not eligible. Applicants who hold Dual Citizenship may be required to provide additional information upon request.

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