NASA West Virginia Space Grant Consortium Undergraduate Research Scholarship Program

With this application, you will need to upload a two-page project description, a short (600 word) essay, a budget, and a one-page (max) resume.

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

College/University:	What West Virginia Space Grant university are you currently attending? Bethany College Bluefield State University Fairmont State University Glenville State University Marshall University Shepherd University West Liberty University West Virginia State University West Virginia University West Virginia University Institute of Technology West Virginia Wesleyan College Wheeling University
Major Field of Study:
Minor Field of Study:	(if any)
College Dean:
Overall GPA:	(4 point scale)
Departmental GPA:	(4 point scale)
Current Rank:	Senior Junior Sophomore Freshman
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. Also, indicate if there is anything else you want us to know about your GPA.
	High School/ College/University Credits GPA (4 pt scale) STEM Courses File Upload File Upload File Upload File Upload

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. Letter of recommendation is due by Wednesday, March 5, 2025. Incomplete applications will not be considered for funding.

Project Title:
Mission Directorate Alignment:	Aeronautics Research Exploration Systems Developemnt Science Space Operations Space Technology
	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:	$
Project Description:	Please upload a two-page summary of the research plan including a statement of the problem, methodology, and proposed time. References, appendices, and budget do not count towards the two-page limit. The document must be in PDF format and single-spaced using Times New Roman (TNR) font size 12, 1" margin on all sides. This research plan must be reviewed and approved by the student's faculty mentor. Proposals should be written with minimal use of jargon. Mentors may provide editorial and revision assistance for student proposals, but they must be primarily the work of student applicants. A letter of support from the faculty mentor is to be submitted separately from the student application. All proposals must align with one of the NASA Mission Directorates. Upload File: File Upload (PDF Format)

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 proposed research project Applicant's academic achievements, leadership qualities, and extracurricular activities Applicant's research experience, career interests, and professional goals Acknowledgment of prior WVSGC funding and a brief description of previous projects funded.

For reporting purposes only

Gender:	Male Female Non-Binary
Ethnicity:	Hispanic or Latino Not Hispanic or Latino
Race:	American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White
Person With Disability:	Yes No
US Veteran:	Have you ever served in the US armed services? Yes No
Birthdate:

	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 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.