Graduate Fellowship Grant Application

Graduate Fellowship Grant

Please indicate your role in this application
I am the a student at a Consortium Affiliated College or University applying for a GrantI am the advisor for the student applicantI am the Campus Director at my institution

Graduate Fellowship Grant Application
Name*

PrefixFirst NameLast Name
Official School Email:*
Consortium Member Institution:*
Campus Director Email:*
Major:*
Current GPA*
Expected Year of Graduation/Program Completion:*
Previous Space Grant Awards (Please list all, include title and date):*
Yes
Title of Research:*
Aeronautics Mission Directorate (ARMD)Human Exploration Mission Directorate (HEO)Space Technology Mission Directorate (STMD)Science Mission Directorate (SMD)
If you are not sure which Mission Directorate aligns with your project or research, use the following link: https://ctspacegrant.org/nasa-mission-directorates
Budget Requested:*
Proposed Period of Performance:*
Project Advisor:*
Project Advisor Email:*
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 Letter of Recommendation 1:

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Faculty who wish to submit confidential letters of recommendation can submit them separately (please visit website). Cancelof
Upload Letter of Recommendation 2:

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

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NASA New Technology Report (NTR) Compliance

All NASA grantees and NASA partners, have an obligation to report new technologies to NASA as required by their agreement. CTSG requires all applicants to comply New Technology Report. The detailed guidelines should be read through in here https://invention.nasa.gov/.

Your signature below indicates that you have read through the NTR guideline from NASA and will following the guideline to report any New Technology in your project as soon as you recognize you have a new technology. It is best to submit the NTR before publicly disclosing the new technology.
I have read through the detailed guidelines for NTR from the provided link and will follow the guideline to report any New Technology in my project, as soon as I recognize that I have a new technology. I will submit it before publicly disclosing the new technology.
Sign Here*

Grant Verification Form
Applicant Name:*

First NameLast Name
Consortium Member Institution:*
YesNo
Reason(Optional)
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 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 Campus Director confirm that the student is a U.S. citizen and proof has been provided.
- I certify that all of the information contained in this application is complete and correct and that I meet all of the eligibility requirements for this form. I agree to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge, including information provided about the citizenship or alien status of any recipient.
- Applicant Signature:*
  
  First NameLast Name
- Date*
  
  MonthDayYear
  Date
- 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 NameLast Name
- Date*
  
  MonthDayYear

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.
- Applicant Name:*
  
  First NameLast Name
- Consortium Member Institution:*
- Please Enter any acknowledgements, concerns, or requirements for your approval:
- Advisor Signature:*
  
  First NameLast Name
- Date:*
  
  MonthDayYear

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Graduate Fellowship Grant

Graduate Fellowship Grant Application

Grant Verification Form

Please preview the form and press "Submit"