Student Travel Grant Application

Student Travel 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

Student Travel Grant Application
Applicant Name*

PrefixFirst NameLast Name
UndergraduateGraduate
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
Travel Destination:*
Budget Requested*
Dates of Planned Travel*
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:

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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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For Group Travel 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 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 Space Grant 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 am a US citizen and I meet all of the eligibility requirements for this form.
- Applicant Signature:*
  
  First NameLast Name
- Date*
  
  MonthDayYear
- 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 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.
- Please Enter any acknowledgements, concerns, or requirements for your approval:
- Advisor Signature:*
  
  First NameLast Name
- Date:*
  
  MonthDayYear

Please preview the form and press "Submit"
Should be Empty:

Student Travel Grant

Student Travel Grant Application

For Group Travel Only

Grant Verification Form

Please preview the form and press "Submit"