Student Project Grant Application

Project Grant

Please indicate your role in this application
*

I am a student at a Consortium Affiliated College or University applying for a Grant I am the advisor for the student applicant I am the Campus Director at my institution

Project Grant Application
Applicant Information:
Applicant Name *

Prefix First Name Middle Name Last Name
Enrollment Status *

Undergraduate Graduate
Consortium Member Institution: *
Campus Director Email: *
Major: *
Official School Email: *
Current GPA *
Expected Year of Graduation/Program Completion: *
Previous Space Grant Awards (Please list all, include title and date): *
U.S. Citizen *

Yes
Project Advisor: *
Project Advisor Email: *
Project Information:
Title of Project: *
Budget Requested *
Proposed Period of Performance *
Upload Your Abstract: *

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Upload Your Narrative: *

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Upload Your Budget Worksheet: *

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Upload Your Resume/Curriculum Vitae: *

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Upload a Copy of Your Student Transcript Here: *

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Upload Your Letter of Recommendation:

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Faculty who wish to submit confidential letters of recommendation can submit them separately (please visit website). Cancel of
Other (Optional):

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Group Projects
For Group Projects Only:

This application is for a group project. The following students are part of this group and if funded will participate in the project work along with the individual identified above as the PI on this grant:
*

Grant Verification Form
Applicant Name: *

First Name Last Name
Consortium Member Institution: *
Do you approve of this application? *

Yes No
Reason(Optional)
Eligibility Certification *

I certify that the applicant indicated above either is currently enrolled as a full-time student or is faculty and meets the eligibility requirements, as outlined in the CT Space Grant Student or Faculty Application Booklet and as summarized below.
U.S. Citizenship *

U.S. Citizenship is a requirement of eligibility for all CT Space Grant College Consortium awards. Award recipients must provide proof of U.S. Citizenship in the form of one of the following (photocopy is acceptable): U.S. Passport (expired or unexpired); Citizenship Certificate; Naturalization Certificate; Birth Certificate; Military or Company ID Card that Shows Citizenship; or Certified Letter from some other organization that has verified citizenship. By checking this box, the applicant and the Space Grant Campus Director confirm that the student is a U.S. citizen and proof has been provided.

Student Applicant
Verification: *

I certify that all of the information contained in this application is complete and correct and that I am a US citizen and I meet all of the eligibility requirements for this form.
Applicant Signature: *

First Name Last Name
Date *

Month Day Year

Campus Director:
Campus Directors should check with OSP/Grant Office for any special requirement of each institution that is not included or required by NASA or CTSGC office
Campus Director Signature: *

First Name Last Name
Date *

Month Day Year
Date

Signatures below certify that the PI’s institution approves of the this application and acknowledges an understanding that if this proposal is awarded, the PI’s institution will need to enter into a sub-contract between itself and the University of Hartford before any NASA CT Space Grant Consortium funds can be disbursed.

You may preview the application on the next page before submitting.

Project Grant