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:
Text messaging:	Send application updates via text message
Cell Phone:
Permanent Address:
City:
State:	Zip:
Home Phone:	( ) -

Educational Information

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)

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)	Transcript
			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 Wednesday, February 3, 2027.

Research Project

Project Title:	65 characters max
	Does the proposed research directly support a thesis or dissertation? Yes No Briefly describe how the proposed research supports the thesis or dissertation.
Mission Directorate Alignment:
	In 250 words or less, tell us how your proposal relates to the selected Mission Directorate. Please clearly explain how your work connects to NASA interest and broader mission goals.
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) If my proposal is selected for funding, I authorize the program to use portions of my proposal as reference materials for future funding opportunities, applicant guidance, training, report, or outreach efforts. I understand that proprietary, confidential, or sensitive information will not be shred without my permission. Yes No

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 Do not wish to disclose
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 Do not wish to report
Person With Disability:	Yes No I do not wish to disclose

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.