ASP Graduate Student Visitor Application
Deadline: 31 October 2015 for visits that begin before 1 January 2017.
Your name (NCAR Staff Only):
Division:
Position:
e-mail address:
Phone Number:
Graduate Student Visitor’s Last Name:
First Name:
Graduate Student Visitor’s Institution:
Graduate Student Visitor’s Work Address:
Graduate Student Visitor’s Email address:
Graduate Student Gender, M/F (optional):
Graduate Student Visitor’s Thesis Advisor:
Graduate Student Visitor’s Thesis Advisor’s email address:
Dates of proposed visit:
Estimated costs of visit:
Student Visit Budget
Description
______ months per diem x $2000 month
Round trip travel to/from Boulder (for domestic visitors use $750,
for international, use estimate based on current airfares)
TOTAL
Cost
$
$
$
Advisor Visit
Proposed length of visit:_____________________
Description
Round trip travel to/from Boulder
Lodging
Per Diem:
Miscellaneous (parking, shuttle, mileage)
Cost
$
$
$
$150
TOTAL
$
Second Advisor Visit (graduate visit must be over 6 months)
Proposed length of visit:_____________________
Description
Cost
Round trip travel to/from Boulder
Lodging
Per Diem
Miscellaneous (parking, shuttle, mileage)
$
$
$
$150
TOTAL
$
Grand Total $________________________
Co-Sponsorship from NCAR Program (if any) $________________________
Co-Sponsorship from University (if any) $________________________
Total amount of request from ASP: $________________________
Graduate Student’s country of birth,________________________________________
Is the Graduate Student a U.S. Citizen or U.S. Permanent Resident? (Y/N):
If not, please list countries of citizenship:
Advisors country of birth,________________________________________________
Is the Advisor a U.S. Citizen or U.S. Permanent Resident? (Y/N):
If not, please list countries of citizenship:
Will the student or advisor need access to anything considered export controlled? (Y/N):
(Please see your Export Compliance Coordinator if you are unsure about this question at
http://www.fin.ucar.edu/export/index.html )
Please answer the following questions.
1. Is the student already at NCAR? If so, please explain why a GVP award is being requested.
2. Has the student previously visited NCAR? If so, when was their visit, for how long and for
what purpose?
3. Is the student currently enrolled in a Ph. D. program? When did the student enter the program
and what is the best estimate of when they will complete it?
4. Have you verified that the graduate student’s salary and benefits will be borne by their home
institution?
5. If the student is foreign, NCAR is required to provide health insurance if the visitor does not
have any of their own. If the student is foreign, how will their health insurance be provided?
(Benefits may be purchased by your program or provided by the student or home institution)
6. What is the purpose of the visit? Please also provide justification for the length of the visit.
7. How will this visit contribute to the student’s thesis work?
8. What do you and the student expect to achieve as a result of this visit?
9. What mentoring is planned as part of the visit?
10. How will this visit enhance research opportunities for groups underrepresented in the
atmospheric sciences?
11. What is the name of the administrative support staff in your division who will be working
with ASP to support this visitor?
All GVP applicants, please submit this request electronically to Paula Fisher
(paulad@ucar.edu), via your program administrator or visitor administrator or have that
person send Paula a separate email acknowledging that they have seen this request.
If you have any questions regarding this program or form, please contact Paula Fisher at x1328
or paulad@ucar.edu.
Please complete this section if you plan to apply for the WISE scholarship in addition to the Graduate Visitor
Program. If you are not applying for a WISE Internship, please delete these pages.
The Warner Internship for Scientific Enrichment (WISE)
In memory of Professor Tom Warner, the Research Applications Laboratory (RAL) and
Advanced Study Program of NCAR have created a new graduate student visitor opportunity as
part of the Graduate Student Visitor Program (GVP). Combining research and service to society,
in the spirit of the Professor's approach to science, the Warner Internship for Scientific
Enrichment (WISE) offers graduate student opportunities to engage in direct exposure to a broad
range of atmospheric research applications and impacts enhancing the student's appreciation for
the role of science in service to society.
WISE honors Dr. Warner's personal commitment to the education and mentoring of students and
professionals in the atmospheric sciences by providing support to graduate student education and
outreach. WISE internships are funded through donations and the first WISE internship was
awarded in the fall of 2012.
WISE candidates will be selected based on the applicant's strength to clearly define a two-week
plan that promotes service mindfulness through diversity and inclusion activities and/or
technology transfer activities. Selected WISE candidates will be expected to visit with leaders in
RAL to learn about research applications in atmospheric science, perform activities from the
proposed two-week plan, and at the end of the internship give an informal presentation to RAL
leaders summarizing the completed activities.
For more information about this internship, please see
http://www.ral.ucar.edu/general/events/wise/
If you are requesting WISE funding, briefly describe the proposed planned activities and
describe how the planned activities will help to promote service-mindedness in the
student visitor.
Warner Internship for Scientific Enrichment (WISE)
Please estimate how the award will be spent to support the student’s visit and achieve their goals.
Budget Description
Cost
Travel
$
Stipend/Temporary Living Per Diem
$
Miscellaneous (please specify)
$
TOTAL
$2500