NASA SPACE GRANT Stafford Space Museum Scholarship Application
Only United States Citizens are eligible
Project Applicant
Application must be typed.
Student ID:
Project Title: Stafford Space Museum Intern
Primary Email:
First, Middle, Last Name:
Secondary Email:
Standing: Freshman
Sophomore
Junior
Senior
Grad Student
Major:
Minor (Second Major):
Hometown Congressional District:_
(see map at end of document)
GPA:
Faculty Advisor:_
Future Plans (Required--Select one):
Higher Education
Faculty
Administrative
Other
Student Demographics: Optional
Race: African American
Asian
Caucasian
Private Industry
Hispanic
Teaching (K-12)
Native American
NASA
Pacific Islander
Non-NASA Federal Agency
Other
State/Local Government
Gender: Female
Nonprofit Organization
Male
Military
Person with Disability: No
Consulting
Yes
Undecided
Other
Specify:
Student ID: ______________________
Write a paragraph describing why you wish to join the Stafford Air & Space museusm team. Be sure to specify
the skills you possess that will make you a valuable team member.
Student ID: ______________________