Space Grant Mentor Application Form

The University of Arizona/NASA Space Grant
Undergraduate Research Internship Program
Mentor Application 2008-2009


The deadline for the 2008-2009 UA/NASA Space Grant Undergraduate Internship Program has passed. This application is now being used for the 2009-2010 Academic year. Please do not use this form to apply for a 2008-2009 Academic year mentorship.

Application Deadline: July 7, 2008

Note: Space Grant Program support of any student is limited to one academic year.

First Name
Last Name
Department
How did you learn about the Space Grant Undergraduate Research Internship Program?

Department or Local Address:

Street
City State Zip
Phone
E-mail Address
 
Project Title
Is this project/research associated with a NASA mission or other research grant?
Yes No
If so, what is the funding agency?
What is the name of the mission or grant?
Have you served as a Space Grant Mentor in past years?

Project Description

Work Description:
Essential Skills:
Desirable Skills:
Who will supervise the intern on a day-to-day basis?
How many students are you willing to work with?
Will you work with a non-science/engineering student?

Funding Assistance

The UA/NASA Space Grant Undergraduate Research Internship program works hard to engage the largest number of students possible. Each year we are able to extend the internship funding base to a larger group of undergraduates through much appreciated financial assistance provided by those of our mentors who are able to full-fund or split-fund their interns. Interns may work between 10 and 20 hrs/wk (8.00/hr plus 3.3% ERE). On average, they tend to work 15 hrs/wk. Thus, full-funding an intern for 30 weeks, at 15hrs/wk amounts to about 3,719 dollars while split-funding half the costs amounts to about 1,859 dollars. Please note that cost-share is not considered in either the ranking/selection of interns or in the process of matching those students to mentor projects.

Please note that cost-share is not considered in either the ranking/selection of interns or in the process of matching those students to mentor projects.

Do you elect either the Full-fund or Split-fund option?




Nomination

In the first step of the review process, student applicants are ranked and selected on merit. In the second step, top ranked students are matched with best fitting mentor proposals. If you already have a student identified for this proposed project - and that student has submitted an Internship application - you can nominate that student to be matched to this project.

Do you wish to nominate a specific student?

Name of the student you propose to split-fund:
Student First Name:
Student Last Name:
Note: Any student nominated for split-funding must complete a student Internship Program application form.

If you have nominated a specific student and he or she does not get selected for an Internship, would you be willing to mentor another student?

Please indicate the general research area most closely encompassing your proposed research project:

























Please indicate research areas we should add to future research topic lists (above):

Please provide two keywords describing your research project (for example, extragalactic astronomy, lunar prospecting, solar power, etc.):

Please indicate the lowest computer skill level(s) you require of an intern:
Macs:
Windows:
UNIX:
Fortran:
C, C++:
Database:
GIS:
GPS:
HTML:
Java:
Visual Basic:
Image Processing:
Statistics:

Additional Comments




If you desire a record copy of your completed proposal form, check the box below. A copy will be sent your e-mail address indicated above. In addition, we recommend that you print a copy of the completed form, for your records, before you submit it.

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Fri Jul 25 10:43:15 2008