Craven Community College in Havelock, NC

NASA CONNECTICUT SPACE GRANT CONSORTIUM

AREW Cover Sheet Aircraft Readiness Engineering Workshop: May 20-25, 2018 @ Craven Community College in Havelock, NC A CT Collaboration with NC Space Grant

NASA CT Space Grant Consortium will fund attendees to this workshop, including travel. Your acceptance to the Aircraft Readiness Engineering Workshop is independent of the NASA CT Space Grant Consortium’s decision to fund your participation. The information provided in this form will be used to help NASA CT Space Grant in their awarding selection review process. Proposal Format and Checklist: Submit a complete application as a single PDF file via email to: [email protected]. A complete application will consist of: 1. Aircraft Readiness Engineering Workshop Cover Sheet 2. Narrative: please see page 2 of cover sheet for more information 3. Resume: include Clubs and Engineering Association Memberships 4. One Letter of Recommendation 5. Student Transcript 6. Grant Verification Form 7. Applicant Contact/Demographic Information Note: Refer to Student Request for Proposals for full detail of submission requirements

**THIS FORM MUST BE TYPED**

Primary Investigator (PI) Name: ☐ Mr. ☐ Ms. ☐ Mrs. School Major Previous Space Grant Awards (Please list all; include title/date) Citizenship: ☐ US Citizen Year of Expected Graduation: Academic Advisor Advisor Email

______Applicant Signature Date

NASA CT SPACE GRANT CONSORTIUM 203 Dana Hall, University of Hartford (Lead Institution), 200 Bloomfield Avenue, West Hartford, CT 06117 860-768-4813 [email protected] www.ctspacegrant.org @CTSpaceGrant Institutional Certification ☐ Signatures below certify that the applicant’s institution approves of this application and acknowledges an understanding that if this proposal is awarded, the institution will need to enter into a sub-contract between itself and the University of Hartford before any NASA CT Space Grant Consortium funds can be disbursed.

______Advisor Signature Date

Please Print Name

Additional Information:

As part of your application narrative, please answer the following questions:

 Why are you interested in attending this workshop?  Why should you be selected?  Describe how your long-term professional interests/experience will be enhanced by attending the Aircraft Readiness Engineering Workshop

NASA CT SPACE GRANT CONSORTIUM 203 Dana Hall, University of Hartford (Lead Institution), 200 Bloomfield Avenue, West Hartford, CT 06117 860-768-4813 [email protected] www.ctspacegrant.org @CTSpaceGrant