Fellowships/Scholarships Program Form

Transcription

1 Page 1 of 5 Fellowships/Scholarships Program Form Go To: [Help] [Report Tools] [SG Main Menu] [Operation/Fellowships Listing] Make changes then click on Update Fellowship/Scholarship Project (Do not type anything - System Gener Project Information Name of Project: Contact Person: Address: (Required) City: State: Zip Code: Contact Phone: (Format:##########) Choose Level Graduate Level: Undergraduate List of Sponsor(s)if other than affiliate: Project Status: End date of Project: Choose Project Status Developing Newly Implemented Continuing Ending Format:DD-MMM-YY.Example:24-SEP-97 gfedc Are recruitment and retention strategies with respect to underrepresented minority groups in place? If so, briefley state:

2 Page 2 of 5 Briefly state selection procedures: Briefly state award criteria: Describe the use of role models, mentors, and other services for underrepresented minority students: gfedc Are the awards competitive? Describe Awards: gfedc Are Evaluation mechanisms in place? Describe Evaluation Methodology: Activity and Audience Information Purpose(s) for the fellowship/scholarship award (mark all that apply): gfedc Target underrepresented groups gfedc Reward excellence gfedc Attract student to science/engineering gfedc Attract student to research gfedc Attract student to design gfedc Attract student to teaching gfedc Support interdisciplinarity

3 Page 3 of 5 gfedc Critical economic need gfedc Retain or encourage students with interests in science/engineering gfedc Retain students interested in research, design, and teaching gfedc Other. Please Specify: Expected fellowship/scholarship activities (mark all that apply): gfedc research gfedc Teaching gfedc Independent Study gfedc Design Project gfedc Internship with Industry/Government gfedc Travel gfedc Social Service Mentoring (K-12 or college students) gfedc Social Service.Please Specify: gfedc Other Fellowship/Scholarship Activities.Please Specify: Funding and Collaboration Information Actual Sources of Funding (include cash or noncash). Enter number only: CASH NASA Space Grant: $ Other Federal: $ Carryover: $ NON-CASH TOTALS Industry: $ $ $ Lead Institution: $ $ $ Non-Profit Organization: $ $ $ Academic Affiliates:

4 Page 4 of 5 $ $ $ State/Local Government: $ $ $ Participants: $ $ $ Other: $ $ $ Totals: $ $ $ Total Given to Awardees: $ Balance/Difference: $ NOTE:JavaScript must be enabled on your Web Browser in order for calculations to work Please provide reason if no funding sources listed Collaborative efforts (mark all that apply) gfedc In Same Department gfedc Other Department in same Institution gfedc Other Institution of higher Education gfedc Community College gfedc K-12 Institution(s) gfedc Teacher Resource Centers gfedc Industry. Please Specify: gfedc Non-Profit Organization gfedc Organization(s) Representing Women, Underrepresented Minorities, or Persons with D gfedc NASA Installations.Please Specify: (limited 1,900 characters - approximately 30 lines) gfedc Other Space Grant Program(s).Please Specify:

5 Page 5 of 5 gfedc Other Federal Government Agencies.Please Specify: gfedc Other Collaboration(s).Please Specify: COMMENTS: Last Updated On: (Do not change. Update automatically) Go To: [Help] [Report Tools] [SG Main Menu] [Operation/Fellowships Listing] Make change then click on Update Fellowships/Scholarships Project