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

Personal Information
First Name:  
Last Name:
State: Zip:
Phone: -
Text messaging: Send applications updates via text message
Cell Phone:
School Address:
State: Zip:
Phone: -
Fax: -
Educational Information
What Texas Space Grant Institution will you be attending in the Spring?

Why is my university not listed?
Federal Congressional District: Find your Representative
Expected Date of Graduation:
GPA: Overall GPA:     Major GPA:
Are you a past TSGC Scholarship recipient? Yes    No    Most Recent Year
Educational History: List the universities that you have attended beginning with the most recent. Only list universities where you have completed at least 10 credits hours. Please upload a PDF version of your transcript. If you are selected to receive the 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 Credits Completed Transcript
File Upload
File Upload
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File Upload
Plan of Study What courses and other activities do you plan to enroll in? How will these activities enhance your STEM-teaching capabilities?
(500 words or less.)

Briefly describe your educational philosophy or particular interest in your approach to teaching STEM.
(500 words or less)

What is your proposed timeline for completing your STEM learning activities and integrating what you learn into your teaching?
(500 words or less)

Additional Comments
(500 words or less)

How did you hear about our program?

Reference #1
Email confirm:
Reference #2
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.

Principle email:
If you are selected for this scholarship, notification will be provided to your school principle and your state representative.

Optional Information
(for reporting purposes only)
Gender: Male Female

Person With Disability:

How did you hear about the Texas Space Grant Educator STEM Scholarship?
Are you a US military veteran?:Yes No
Verification of U.S. 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.