Washington NASA Space Grant

2011-2012 Undergraduate Team Awards

APPLICATION FORM

This form may be submitted electronically or
printed out and mailed to the Space Grant office.

Please note, some competitions require that team members be full-time students and/or U.S. citizens. Applicants should review all competition or program requirements and make sure the entire team is eligible to participate before submitting this proposal.

Name of Competition or Program:

Team Member Institution(s):

Team Spokesperson:

Full-time student Yes     No       U.S. Citizen Yes     No

Mailing Address:

Telephone:

E-mail:

Faculty Mentor/Advisor:

Mailing Address:

Telephone:

E-mail:

Project Information

Date(s) of Competition/Program:

Competition/Program URL:

Are team members required to be full-time students?

Yes       No
Are team members required to be U.S. citizens?

 Yes       No
Competition/Program Timeline:

Award Amount Requested:

Total cost and fund-raising plan:

Team Members

Team Member #1:

Full-time student Yes     No       U.S. Citizen Yes     No

E-mail:

Team Member #2:

Full-time student Yes     No       U.S. Citizen Yes     No

E-mail:

Team Member #3:

Full-time student Yes     No       U.S. Citizen Yes     No

E-mail:

Team Member#4:

Full-time student Yes     No       U.S. Citizen Yes     No

E-mail:

List any additional team members, their e-mail addresses, and whether they are full-time students and/or U.S. citizens.

The following documents are required to complete your application:

  • Copies of unofficial transcripts for each team member
  • A letter of reference from the team's faculty mentor or advisor
  • A written description of the project (no more than 3 pages, double-spaced). The description should address the project's significance to NASA and include a brief outline of the roles of the participating team members.

Please send the additional documents to WSGC UNDERGRADUATE TEAM AWARDS, UNIVERSITY OF WASHINGTON, BOX 351310, SEATTLE, WA 98195-1310, or fax 206-543-0179.


When you've checked over your information and are ready to turn in your application hit "SEND" below.


Questions? Call (206) 543-8918 or send e-mail to jcc5@u.washington.edu

Revised 1-29-11
Questions? E-mail us!
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