NASA WV EPSCoR Summer Research Experience

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 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)

Student ID:

Educational History:

List the colleges and/or universities from which you have completed at least 10 credits. If you have not completed two full university terms, also include the high school from which you received your diploma. For each organization please upload an unofficial transcript.

High School/ College/University	Credits	GPA (4 pt scale)	Transcript
			File Upload
			File Upload
			File Upload
			File Upload

Letter of Recommendation

Name:
Institution:
Phone:
email:
email confirm:
	Once you have submitted your application, we will email your reference 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. Letter of recommendation is due by Wednesday, February 3, 2027. Incomplete applications will not be considered for funding.

Other Items and Essays

Resume:

File Upload

(PDF Format)

Essay:

The applicant is required to submit a statement of no more than 600 words addressing the following items:

Applicant's motivation for completing the research project
Applicant's academic achievements, leadership qualities, extracurricular activities, and/or work activities
Applicant's research experience (in and/or out of class), career interests, and professional goals
If there is anything you want the committee to know about your GPA or academic progress, address that 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 undergraduate 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 research experience, 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 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.