AY 2021-22 Space Grant Mentor Application Form

General Information

First Name *

Last Name *

Email Address *

Department/Company *

How did you learn about the Space Grant Undergraduate Research Internship Program?

Department or Company Address

Street *

City *

State *

Zip *

Phone *

Research Project Information

Project Title *

Is this project/research associated with a NASA mission or other research grant? *

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? *

Research Project Description *

Internship Work Description (please indicate which, if any, aspects of this work an intern can perform remotely) *

Limited to 275 characters maximum.

Essential Skills of Intern *

Limited to 275 characters maximum.

Desirable Skills of Intern

Limited to 275 characters maximum.

Who will supervise the intern on a day-to-day basis? *

How many interns are you willing to work with? *

Will you work with a non-science/engineering student? *

Yes

Funding Assistance

This internship is funded by the NASA National Space Grant College and Fellowship Program, and whenever possible, through the generous contributions of mentors. The UArizona NASA Space Grant Undergraduate Research Internship program works hard to engage the largest number of students possible. Each year, we are able to extend internship opportunities to a larger group of undergraduates through much appreciated financial assistance provided by mentors who are able to full-fund or split-fund their interns. Interns may work up to 20 hours per week (receiving an hourly wage of $12.50 plus 1.8% ERE). In 2020, interns averaged 13 hours of work per week from August - May. Thus, full-funding an intern at $12.50 per hour for 30 weeks at 13 hours per week amounts to $4,963, while split-funding an intern amounts to $2,481.

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? *

Yes - Full-fund (I am willing to pay the full student wage)

Yes - Split-fund (I am willing to pay one-half the student's wage)

No - I am unable to provide cost share at this time

If you are willing to work with more than one intern, does this funding selection apply to all of them? *

Yes, this funding selection is applicable to all

No, this funding selection is not applicable to all

If you are willing to work with more than one intern, does this funding selection apply to all of them? No, this funding selection is not applicable to all

Intern Nomination & Request

To nominate/request working with a specific student, list them here. Nominated students must also submit an Internship application to be matched to your project. Please note, nomination does not guarantee a student will be selected for an internship. *If you would like to nominate/request up to two additional students for this same project (i.e., same project title, skills required, etc.) you may list them in the 'Comments' box below.

Student First Name

Student Last Name

Willing to mentor another student?

Yes

Maybe - please contact me first

If you have nominated a specific student(s) and they are not selected for an Internship, would you be willing to mentor another student?

Research

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.)

NASA Mission Directorates

All Space Grant-funded projects are required to align with one or more NASA Mission Directorates. Please review the information found on the NASA Mission Directorates page before selecting the MD(s) and Research Priority Area(s) your project most closely aligns with. DO NOT select more than two MDs. Hold the "CONTROL" (PC) or "COMMAND" (Mac) button to select more than one Research Priority Area.

Please Select up to TWO NASA Mission Directorates *

Aeronautics Research Mission Directorate (ARMD)

Human Exploration & Operations Mission Directorate (HEOMD)

Science Mission Directorate (SMD)

Space Technology Mission Directorate (STMD)

Aeronautics Research Mission Directorate (ARMD) *

Please select all applicable subcategories.

Human Exploration & Operations Mission Directorate (HEOMD) *

Please select all applicable subcategories.

Science Mission Directorate (SMD) *

Please select all applicable subcategories.

Space Technology Mission Directorate (STMD) *

Please select all applicable subcategories.

Operating Systems

Please indicate the lowest operating system levels you require of an intern.

Macs *

UNIX *

Windows *

Computer Languages

Please indicate the lowest computer language levels you require of an intern.

C, C++ *

Fortran *

HTML *

Java *

MATLAB *

Visual Basic *

Python *

Other Computer Skills

Please indicate the lowest computer skill levels you require of an intern.

Database *

GIS *

GPS *

Image Processing *

Statistics *

Additional Comments

Please list additional comments here. You may also use this box to list the first/last name of up to two additional nominated students if you are requesting to work with them for this same project (title, work description, etc.).

Confirmation *

I confirm that all of the above information is correct and that I wish to submit an application as a Mentor for the UArizona NASA Space Grant Undergraduate Internship Program.

Leave this field blank

The University of Arizona NASA Space Grant Undergraduate Research Internship Program Mentor Application 2021-2022

The University of Arizona NASA Space Grant
Undergraduate Research Internship Program
Mentor Application 2021-2022