UGRI Student Intern Online Application
UGRI STUDENT INTERN ONLINE APPLICATION


Please fill-in all spaces as accurately and completely as you can. When you have finished, click the SUBMIT button below. Please click it only once. You should receive verification of receipt of your application after it has been sent. Thank you!

Please note that interns must be full-time, undergraduate, NAU students for the duration of the award (Fall 2010-Spring 2011). You must also be a U.S. citizen.

NOTE: All applications must be in student-mentor teams. The student and mentor application forms can be submitted separately, but each must clearly refer to the other.

Application Deadline:  March 12, 2010

Student's Name:
Major Department:
Student Identification Number:

Permanent Address:
City:
State:
ZIP code:
Local Address:
City:
State:
ZIP code:

Local Phone Number (include area code):
U.S. Citizen?
E-mail Address:
Academic Standing as of Fall 2010:
If other, please specify:
Grade Point Average (GPA):
Expected Graduation Date:
Mentor Name:
Department:
Phone Number:

Please describe your academic background and experience.



Please describe briefly your educational goals and career interests.

Please describe the nature and scope of your proposed project.

Please describe briefly how the Space Science and Engineering Research-Intern Program can fit your particular needs and interests, and what you expect to gain from it.



Have you had a Space Grant internship previously?
If yes, please give the name of your supervisor, the project title, and a brief description of the project, including any outcome or results.



I would prefer to work in one of the following areas:

If other, specify here:

Please identify your ethnicity (identification is voluntary and will not influence award decisions):

 Deadline:   March 12, 2010


For more information, please contact:

 Kathleen Stigmon: Program Coordinator - NAU/NASA Spacegrant Program
Department of Physics and Astronomy
Northern Arizona University Box 6010
Flagstaff, AZ 86011-6010
(928) 523-8067

Updated on May 13, 2009 by Kathleen Stigmon.
Send all reports of broken links or other bugs to this address.