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


Personal Information
First Name:
Last Name:
e-mail:sample-applicant@example.com
Alternate e-mail:
Birthdate:
Address:
City:
State: Zip:
Phone: -
Text messaging: Send applications updates via text message
Cell Phone:
Federal Congressional District: Find your Representative
Educational Information
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)
File Upload
File Upload
File Upload
File Upload
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?

Why is my university not listed?
Department:
Degree Sought:
Expected Date of Graduation:
Professional Experience
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

Are you a past TSGC Fellowship recipient?  Yes   No   Most Recent Year

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)

Letter of Recommendation
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.
Optional Information
(for reporting purposes only)
Gender: Male Female
Ethnicity:
Race:






Person With Disability:




How did you hear about the Texas Space Grant Graduate Fellowship?
Are you a US military veteran?:Yes No
Verification and Cirtification
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.
Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.