NASA West Virginia Space Grant Consortium Graduate Research Fellowship Program

Please Note: This is a sample application for viewing purposes only. To apply to this program please visit the application "New User Registration" page and register with the system.

Personal Information

First Name:
Last Name:
Middle Initial:
e-mail:	sample-applicant@example.com
Secondary email:
Current Address:
City:
State:	Zip:
Text messaging:	Send applications updates via text message
Cell Phone:
Permanent Address:
City:
State:	Zip:
Home Phone:	( ) -

EducationalInformation

College/University:

What West Virginia Space Grant university are you currently attending?

Major Field of Study:

Minor Field of Study:

(if any)

College Dean::

Overall GPA:

(4 point scale)

Departmental GPA:

(4 point scale)

Current Rank:

Expected Date of Graduation:

(mm/yyyy)

Student ID:

Educational History:

List the colleges and/or universities from which you have completed at least 10 credits. For each organization please upload an unofficial transcript.

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	Credits	GPA (4 pt scale)	STEM Statement
			File Upload
			File Upload
			File Upload
			File Upload

Letter of Recommendation and Endorsement by Research Advisor

Name:
Institution:
Phone:
email:
email confirm:
	Once you have submitted your application we will email your advisor 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. Letters of recommendation are due by Tuesday, March 10, 2026.

Research Project

Project Title:
Mission Directorate Alignment:
	In 250 words or less, tell us how your proposal relates to the selected Mission Directorate. Also include a direct link to that specific program area.
NASA Budget Request:	$
Cost Share:	$ List source of cost share funding:
Project Description:	Refer to program website for proposal details Upload File: File Upload (PDF Format)

Other Items and Essay

Resume:	File Upload (PDF Format)
Essay:	In 600 words or less please address the following items. Applicant's research experience and career interests Applicant's plans for sharing research findings through participation in a professional conference and/or publication If there is anything you want the committee to know about your GPA or academic progress, include it here

Optional Information

for reporting purposes only

Sex:	Female Male Prefer not to answer
Ethnicity:
Race:	American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White
US Veteran:	Have you ever served in the US armed services? Yes No
Person With Disability:	Yes No

Verification

	I am a citizen of the United States of America.
	I am or will be a full-time graduate student during the period of the award.
	I understand that if any required sections are missing, my application will not be reviewed.
	If awarded, I agree to provide West Virginia Space Grant Consortium: (1) an end-of-year report detailing my activities and accomplishments during the period of the Fellowship, including publications, research, and meetings attended; and (2) information about my studies and/or employment on request beyond the term of the award. (This is part of a NASA requirement to track the long-range effectiveness of the scholarship program.)
	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. To apply to this program please visit the application "New User Registration" page and register with the system.