ASU/NASA Space Grant Program Mentor Form

Personal Information

First Name

Last Name

Department

Department or Local Address

Street

City

State

Zip

Phone

E-mail Address

Project Description

Project Title

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

Research Grant Yes No

If not NASA, 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? Yes No

Project Description

Semesters Requested

Work Description

Essential Skills

Desirable Skills

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.

Please Note: To be eligible for an internship, student must be US citizens and full time sophmore students or higher at ASU.

If you have a particular student in mind, nominate them here.

Student First Name

Student Last Name

Note: All nominated students 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?

Consider Other Students? Yes No Maybe - please contact me first.

Would you work with a non-science/engineering student? Yes No

How many students are you willing to work with?

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

Funding Assistance

The ASU/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 split-fund their interns. Full-funding an intern for 40 weeks at 10hrs/week amounts to about $3,708 while split-funding half the costs amounts to about $1,854.*

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 the Split-fund option? Yes (I am willing to pay one half of the student's support) No (I am unable to provide cost share at this time)

*These Space Grant Internship cost estimates are based on the standard Space Grant wage of $ 9.00/hour and the Fall 2008/Spring 2009 ERE rate of 3%. Interns can work for 10 hours/week.

An important goal of NASA Space Grant is to promote science, technology, engineering, and math [STEM] literacy to the public through informal education activities or the production of informal education materials. For science and engineering applicants, informal education will be separate from the research project. For other applicants, the informal education may be a key component of the main project proposal.

All students are expected to do 15 hours a semester of Informal Education. These hours are to be included as part of their internship hours and come out of Space Grant funds.

Note: All nominated students must complete a student Internship application form. For more information on mentoring a student, please see Mentor Information and Responsibilities under http://nasa.asu.edu/opportunities/mentors/.

Additional Comments

Where did you find out about the ASU NASA Space Grant and internship availability?

If you have any additional comments, please put them here.

Comments

ASU/NASA Space Grant Mentor Application

Personal Information

Department or Local Address

Project Description

Nomination

Funding Assistance

Project Information

Please indicate the area most closely associated with your proposed project.

Please indicate the lowest computer skill level(s) you require of an intern.

Additional Comments