VERMONT SPACE GRANT CONSORTIUM

COVER PAGE -- 2012 GRA COMPETITION

Name and Title of Faculty Applicant:

Project Title:

Faculty Address:

Faculty E-mail:

Phone number:                                                           Fax number:

Faculty Department(s) (if not part of address):

Name of Graduate Student:

Degree Program (Please Check One):     MS ___               Ph.D. ___

Area(s) of Interest for NASA:

Signatures:

Faculty Member:       ________________________________________________________________                                        Print                                        Sign                                                     Date   

Department Chair:     ________________________________________________________________                                        Print                                        Sign                                                     Date

Checklist:   COMPLETE APPLICATION DUE BY 4:00 p.m. on March 19, 2012:

1.  Hardcopies to Space Grant Office (Pearl House, Second Floor, Room 209, 12 Colchester Avenue, Burlington, VT 05401-1455) by 4:00 PM, March 19, 2012:

a.      Completed Cover Sheet with PI and Chair Original Signatures  ___

b.      Student Transcript   ___

2.  Proposal Packet -- Hardcopies to Space Grant Office and Electronic File as Email Attachment to wlakin@together.net by 4:00 PM, March 19, 2012:

a.      Three Page Project Description  ___

b.      Section With Evidence of NASA Interest  ___

c.       Section on Student Mentoring  ___

d.      Two Page Faculty C.V.  ___

e.      List of All Current and Pending Support  ___

f.        One Page Student C.V.  ___

g.      Student course plan and related requirements  ___