Illinois Space Grant

NASA Intern Sponsorship Application

Please complete this form to enable the ILSGC to determine eligibility for financial sponsorship. If you are selected to receive Illinois Space Grant funding, you will be required to take part in our longitudinal tracking and you will need to submit a final report about your experience as a NASA Intern.


Illinois Space Grant has a limited amount of funds to support interns each year, so not all applications can be honored.

Are you a U.S. Citizen?*

Full U.S. Citizenship is required for internship placements. Permanent residents and green cards do not qualify for placements.

Please provide your college/univeristy email.

Phone

Please use the full name of the institution you are currently attending.

Student Status*

Select all that apply.

If yes, please describe your experience, including the program name, your role, the skills you developed, and how it influenced your academic or career goals.

If yes, please describe your involvement, including the program name, your role, and how it contributed to your academic or professional development.

Describe how this opportunity aligns with your academic and career aspirations.

If you prefer, you can answer the above questions on a document and submit that here.

Drag and drop files here or

The Illinois/NASA longitudinal tracking process involves requesting information from Illinois Space Grant fund recipients to determine whether the Space Grant-funded opportunities impact a student’s future education/career plans. All awardees must agree to provide timely information for this report. The data is used to demonstrate the success of the Space Grant program to NASA so that funding will continue to be appropriated for future students. The tracking occurs through the first year of your next step. For example: if you are a junior who receives an internship, we will ask for your information yearly until you enter graduate school or take a position in your career field.


If selected, I understand that I will be required to participate in the Illinois/ NASA Longitudinal Tracking process and will provide a report at the end of my experience. Please initial below that you understand these requirements.

Demographic Information

Please complete the following to self-report demographics for our data collection and reporting systems.


NASA's goal in advancing equity, in line with President Biden's Executive Order, is to provide everyone with the opportunity to reach their full potential. This includes efforts to remove systemic barriers to and provide equal access to opportunities and benefits, identify communities the Federal Government underserved, and develop policies designed to advance equity for those communities.

Gender*

You may select more than one response.

Ethnicity*

Hispanic or Latinx means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Disability*

Do you have a disability, based on the National Center of Educational Statistics' list of disabilities categories? (including difficulty hearing, seeing, or speaking, mobility limitations/orthopedic impairments, traumatic brain injury, specific learning disabilities, ADD or ADHD, Autism Spectrum Disorders, cognitive difficulties or intellectual disability, mental illness or psychiatric conditions).

Military Service*

Have you ever served in the United States Armed Forces?

First Generation Student*

Are you a first generation student? (A first generation student is defined as someone who's parents or legal guardians did not earn a bachelor's degree or higher.)

Low Income Background*

Do you come from a low income background? For a definition of “Low Income” please visit


https://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html

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