NASA Rhode Island Space Grant Consortium Application for Graduate Fellows
Due Date: February 28, 2020

Academic Year Fellows work the majority of their time on their studies and research in conjunction with their degree program. They are also a part of a larger group of undergraduates, graduate students, and Research Associates who participate in outreach programs for K-12 teachers and their students, as well as for the general public. Space Grant science education outreach activity and preparation are expected to encompass a small amount of your time and are requirements of the scholarship.

Summer Fellows spend all of their time on their independent research project with their science adviser. They will also be invited to join us in miscellaneous Space Grant activities, provided that they do not conflict with their research project.

Information for applicants (U.S. Citizens only) and individuals writing the letter of recommendations:
1. Complete this form in its entirety
2. Submit two letters of recommendation. Please note: letters of recommendation should be kept in their sealed envelopes.
3. Submit your official transcript
4. Submit your resume
5. Submit your statement of interest and objectives (two page maximum)
6. Please send all materials electronically to: nancy_ciminelli@brown.edu.

Contact Nancy Ciminelli, RI Space Grant Program Manager, with any questions at (401) 863-1151 or nancy_ciminelli@brown.edu.
Which college/university do you attend? *
Full Name *
Your answer
Email Address *
Your answer
Gender: *
Date of Birth: *
mm/dd/yyyy
Your answer
Current Address: *
Your answer
Permanent Address: *
Your answer
Telephone Number *
Your answer
Are you a U.S. Citizen? *
ONLY US Citizens are eligible for funding from this grant.
Are you a Military Veteran? *
Which award period are you requesting? *
Required
What year of your graduate studies will you be during this time? *
If the application period takes place either during your first or last year as a graduate student then you are NOT eligible.
Your answer
If you are potentially going to be away from campus for more than two weeks during your award, please state when and how long (this may affect the award). *
This does not need to include normal university holidays.
Your answer
Current faculty advisor for proposed research: *
Your answer
Faculty Advisor telephone number:
Your answer
Relationship of proposed research project to NASA’s goals and objectives. *
Refer to NASA’s web site at http://www.nasa.gov for help with determining current NASA research foci.
Your answer
List any relevant honors, prizes, or publications. *
Your answer
Extracurricular activities and accomplishments : *
Focus on those related to space science and/or space engineering.
Your answer
Teaching or professional experience, including summer and academic year work. *
Please include BURP (Brown Undergraduate Research Program) and UTRA projects.
Your answer
I consider myself to have the following disability: *
I consider myself to belong to the following race: *
Ethnicity: *
What is your major? *
Your answer
Will you or your siblings be the first in your family to graduate from college? *
Please indicate the name of any other submitted applications (e.g., UTRA) *
Your answer
We are required to submit your biographical information (e.g., birthdates, addresses, etc.) to NASA Headquarters and track your progress three years after the award. Please check the following box if you do or do not concur. If you have concerns or questions, please do not hesitate to contact the RI Space Grant Office. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Brown University. Report Abuse