*
SCHOOLS ATTENDED
DATES
ex.06/26/1970
GPA
ADDITIONAL HIGH SCHOOLS ATTENDED OR INFORMATION
HIGHER EDUCATION
SCHOOL
ADDRESS
COURSE OF STUDY
DATES
ex.06/26/1970
DEGREES
GPA
SCHOOL
ADDRESS
COURSE OF STUDY
DATES
ex.06/26/1970
DEGREES
GPA
ADDITIONAL EDUCATION OR INFORMATION
ACADEMIC PLANS FOR 2011-2012
Please list below the higher educational institution and degree program you anticipate attending during the 2011-2012
academic year. If you currently are applying to schools, please list these schools below.
SCHOOL
ADDRESS
DEGREE PROGRAM
SCHOOL
ADDRESS
DEGREE PROGRAM
SCHOOL
ADDRESS
DEGREE PROGRAM
ADDITIONAL ACADEMIC PLANS INFORMATION
**Confidential letters of reference must pertain to your scholastic
achievements and be on letterhead.
These letters
must be sent directly to the VSGC office in hard copy by:
1. NAME
TITLE
ADDRESS
2.
NAME
TITLE
ADDRESS
3.
NAME
TITLE
ADDRESS
The following information is optional, although essential
for our national reporting.
The VSGC encourages full participation in its
programs by women and members of minority groups.
Male
Female
Minority Origin
Handicapped
Are you a Vermont resident and United States
citizen? Yes
No
ADDITIONAL NOTES OR
INFORMATION
IMPORTANT NOTES: This application should be accompanied by an essay
detailing your career plans and the relationship of these plans to areas of
interest to NASA. This essay (NOT TO EXCEED 3 TYPED, DOUBLE-SPACED PAGES)
should be as detailed and specific as possible. Official
Transcripts are required from your attending institution.
Eligibility depends on attendance to an "In-State" Scholastic Institution.Please include your name in the PDF or Word doc.
This will accept either PDF or Word Documents.
Scholarships are not automatically renewable
and awardees must complete all requirements when reapplying.
Current VSGC Scholars applying
for an additional year of funding should also include a short Progress Report.
This
will accept either PDF or Word Documents.
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