• Must be a U.S. Citizen
• Must be currently enrolled as a full-time undergraduate student at one of the five Virginia Space Grant Consortium member institutions: Hampton University, William and Mary, Virginia Tech, UVA, or ODU
• Must have completed at least two years of a STEM (science, technology, engineering, and math) undergraduate program and be classified as a junior or senior during the 2024-2025 academic year (must have at least junior status by summer 2024 if choosing summer option)
• Must have a grade point average of at least 3.0 on a 4.0 scale
• Must be in a program of study demonstrating an interest in STEM, and interested in research that supports NASA's mission.
• Must have a graduation date no sooner than May 2025

First Name:
Last Name:
e-mail:	sample-applicant@example.com
Alternate e-mail:
Verification of US Citizenship:	I am a citizen of the United States of America
Current Address:
	, 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 Code +4 Lookup
Text messaging:	Send applications updates via text message
Cell Phone:
Alternate Phone:	( ) -
Permanent Address:
	, 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 Code +4 Lookup

	What Virginia Space Grant University will you be attending in the Fall? Hampton University Old Dominion University University of Virginia Virginia Tech William & Mary
Major:
Second Major:
Minor:
College:
Department:
Degree Sought:	BA BBA BS Bachelors
Plan of Study:	File Upload (PDF format) Applicants must submit a plan of study outlining intended course work for the remainder of their undergraduate program.
Academic Standing:	Junior Senior At the beginning of the Fall 2024
Expected Date of Graduation:
Current GPA:	(4 pt scale)
Future Education Plans:	Do you plan to pursue a graduate degree? Yes   No
Resume:	File Upload (PDF format)
Educational History:	List the universities that you have attended beginning with the institution you are currently attending. Please upload a PDF version of all transcripts. 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 GPA (4 pt scale) Transcript AA AS BA BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate File Upload AA AS BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate File Upload AA AS BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate File Upload AA AS BA BBA BS AB Bachelors MA MBA MS MSE Masters JD MD PhD Doctorate File Upload

Faculty Advisor First Name: Last Name: Title: Institution: Department: Address: City: State and Zipcode: 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 Phone: email: email confirm:

Reference #2 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

Once you have submitted your application both of these individuals will received 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 notices@spacegrant.net for this information on your behalf. The deadline for submission of reference letters is Friday, February 16, 2024. This program encourages talented STEM (science, technology, engineering and mathematics) undergraduate majors to pursue aerospace-related fields and do research with a strong alignment with NASA's five Mission Directorates: Aeronautics Research Mission Directorate, Exploration Systems Development Mission Directorate, Space Operations Mission Directorate, Science Mission Directorate, and Space Technology Mission Directorate.

Please describe how your research aligns with NASA's Mission Directorates.
(750 words or less)

Title:
Research Statement:	File Upload (PDF Format) The research statement, written by the student, in consultation with the advisor, should describe: the key elements of the proposed research; what he/she intends to accomplish; and, identify any aerospace application of the proposed research activity. The selection committee is made up of university faculty in a variety of disciplines. Applicants should present their proposed research in a form that will be understandable to a range of readers. Research proposals must not exceed a maximum of 3 pages (not including references).
	My faculty advisor has read and approved this research statement and has agreed to supervise me while I conduct this research.

Additional Comments
(750 words or less)

Have you previously participated in any other Virginia Space Grant Consortium programs or received any Virginia Space Grant Consortium funding?  Yes   No  

Provide a budget proposal by academic session for scholarship funds requested. Suggested budget categories include: student stipends and research related expenses, such as travel, materials, etc. The total travel and research related expenses for each academic session cannot exceed $1000. Note: All funds are administered through the student's university. Universities are not allowed to charge institutional costs on Space Grant scholarship monies.

Award Option		Academic Year			Summer
		Stipend	Expenses		Stipend	Expenses		Award
Academic Year Award		$3,000	up to $1,000		$0	$0		up to $4,000
Academic Year Plus Summer 2024		$3,000	up to $1,000		$3,500	up to $1,000		up to $8,500
Academic Year Plus Summer 2025		$3,000	up to $1,000		$3,500	up to $1,000		up to $8,500

Award Type:

Academic Year Award Academic Year Award plus Summer 2024 Academic Year Award plus Summer 2025

Item	Amount	Description
Academic Year Travel Expenses
Academic Year Other Expenses
Summer Session Travel Expenses
Summer Session Other Expenses
Total	$

Students are strongly encouraged to provide the information requested below which is for reporting purposes only.

	How did you hear about the VSGC Graduate Research Fellowship Program?
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
Birthdate:
Person With Disability:	I do not have a disability I do not wish to identify my disability status Hearing Vision Missing Extremities Paralysis Other Impairments I have a disability, but it is not listed Specify if not listed:

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.