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

Sponsor: Virginia Space Grant Consortium Education

Program: Virginia Space Grant Master Teacher

Applications Due: Sunday, November 11, 2018

Master Teacher Training: Mandatory Master Teacher training will be on November 30, 2018, at 8:30 AM- 4:00 PM.

Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Home Address:
, VA  
Home Phone: ( ) -
Work Phone: ( ) -
Text messaging: Send applications updates via text message
Cell Phone:
Are you a US Citizen?   
Are you a Virginia Resident?   
School Information
School Name:
School Address:
, VA
(PDF format only)
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 transcripts may be properly included in your application file, please ensure that they are not protected via encryption, a password, a signed certificate or in any other manner.
Recommendation Letters
As part of your application packet you are required to provide two letters of recommendation from current or former supervisors, department chairs, school administrators or someone who can attest to your professional qualifications.
Reference #1
email confirm:
Reference #2
Once you have submitted your application, the system will email these people 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.

Note: It is the responsibility of the applicant to follow up with these people to ensure the recommendation is submitted electronically by the Tuesday, November 13, 2018 deadline.
Legislative District Information
Look up your U.S. Representative
Congressional District:
Look up your Virginia Delegate and Senator
State Delegate District:
State Senate District:
Other Information
Which Virginia Space Grant Consortium Online Course are you interested in applying for?
Virginia Aerospace Science and Technology Scholars
Virginia Space Coast Scholars
Virginia Earth System Science Scholars

Explain why you wish to participate as a Master Teacher for the Virginia Space Grant Consortium Online Education Programs (VSCS, VASTS, or VESSS) and why you would be successful. Describe personal characteristics, strengths and interests to support your explanation.
(750 words or less)

Please describe your experiences in distance learning courses as either a student or educator.
(750 words or less)

What do you think is the most critical aspect for a student's success in an online course?
(750 words or less)

Summer Academy Availability
Are you interested and available to be a master teacher for the summer academy?    

Please check the dates of your availability.

How did you hear about the Virginia Space Grant Master Teacher program?

Optional Information
Applicants are strongly encouraged to provide the information requested below. This information is collected for federal reporting purposes only and is not accessible to the program's selection panel.
Person With Disability:
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.