First Name:
Last Name:
e-mail:	sample-applicant@example.com
Alternate e-mail:
Birthdate:
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:	-
Text messaging:	Send applications updates via text message
Cell Phone:
Federal Congressional District:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Find your Representative

Educational History: List the universities that you have attended beginning with the institution you are currently attending. Other than your current institution only list colleges or universities where you earned a degree. Please upload a PDF version of your transcript for each college/university. If you are selected to receive this award official transcripts will 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	Degree	Date Awarded or Expected Graduation	GPA (4 pt scale)	Transcript (PDF Format)
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate	Spr Sum Fall 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 < 1980		File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate	Spr Sum Fall 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 < 1980		File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate	Spr Sum Fall 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 < 1980		File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate	Spr Sum Fall 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 < 1980		File Upload
		BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate	Spr Sum Fall 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 < 1980		File Upload

Admissions Exam:	If you are required to take an admissions exam to attend graduate school please enter your score below. GRE: Verbal    Quantitative    Analytical MCAT: Physical Sci    Verbal    Biological Sci    Writing    LSAT:
University Information:	What Texas Space Grant University will you be attending in the Fall? Angelo State Baylor University Lamar University Laredo College Lone Star College Prairie View A&M University Rice University South Texas College Southern Methodist University Southwest Research Institute (UTSA) St. Edwards University Stephen F. Austin State University Sul Ross State University Tarleton State University Texas A&M International University Texas A&M University Texas A&M University - Commerce Texas A&M University - Corpus Christi Texas A&M University - Kingsville Texas A&M University Texarkana Texas Christian University Texas Southern University Texas State University - San Marcos Texas Tech University Texas Woman's University Trinity University University of Dallas University of Houston University of Houston, Clear Lake University of Houston, Downtown University of North Texas University of St. Thomas University of Texas at Arlington University of Texas at Austin University of Texas at Dallas University of Texas at El Paso University of Texas at San Antonio University of Texas at Tyler University of Texas Health Science Center, Houston University of Texas Health Science Center, San Antonio University of Texas Medical Branch, Galveston University of Texas Permian Basin University of Texas Rio Grande Valley University of Texas Southwestern Medical Center Why is my university not listed?
Department:
Degree Sought:	MA MBA MS MSE Masters JD MD PhD Doctorate
Expected Date of Graduation:

Describe your academic, research, and professional experiences including any military service. Include dates, indicate full or part-time, and emphasize connections to STEM (Science, Technology, Engineering, and Math).
(400 words or less)

Honors: Describe awards, scholarships, fellowships, assistantships, and any other honors that you have received (include dates).
(400 words or less)

Are you a past TSGC Scholarship recipient?  Yes   No   Most Recent Year 2023-24 2022-23 2021-22 2020-21 2019-20 2018-19 2017-18 2016-17 2015-16 2014-15 2013-14 2012-13 2011-12 2010-11 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02 2000-01 1999-00 1998-99 1997-98 1996-97 1995-96 1994-95 1993-94 1992-93 1991-92 1990-91

Are you a past TSGC Fellowship recipient?  Yes   No   Most Recent Year 2023-24 2022-23 2021-22 2020-21 2019-20 2018-19 2017-18 2016-17 2015-16 2014-15 2013-14 2012-13 2011-12 2010-11 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02 2000-01 1999-00 1998-99 1997-98 1996-97 1995-96 1994-95 1993-94 1992-93 1991-92 1990-91

NASA Research: In layman's terms, what area of STEM (Science, Technology, Engineering, and Math) research and/or education are you pursuing, why is it important, and why is it relevant to NASA?
(400 words or less)

Outreach: How will you contribute to the outreach mission of the Consortium to promote STEM (Science, Technology, Engineering, and Math)?
(400 words or less)

Career Goals: What are your short- and long-term academic and/or career objectives (5 and 20 years)?
(400 words or less)

Name:
Title:
Institution:
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.

(for reporting purposes only)

Gender:	Male Female
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 Do not wish to report
Person With Disability:	I do not have a disability I have a disability I choose not to disclose
	How did you hear about the Texas Space Grant Graduate Fellowship?
Are you a US military veteran?:	Yes No

Verification of Appointment:	I understand that in the event that I am selected to receive this award I am required to have a half-time appointment at my home institution. This award will supplement your half-time appointment.
Verification of US Citizenship:	I am a citizen of the United States of America
Certification:	I certify that all of the information contained in this application is complete and correct and that I meet all of the eligibility requirements stated in this application.