Montana Space Grant Consortium

ARES Program

Application for

Awards for Research in Engineering and Science

Instructions to student: Complete the section below, and attach a research proposal to the application. The research proposal should include a project title, explanation of the problem to be studied, goals to be achieved, experimental approach and references. The total number of pages should be three to four.

Student Name:

Address:

Telephone number:

E-mail address:

Social security number: Major:

Class (junior, senior, etc.): Expected graduation date:

Term of project (circle one): Fall Winter Spring Summer / Year:

Protected Class Status: (Please note - The Consortium is required by NASA to report the information below for assessing the effectiveness of this program in recruiting students in technical disciplines, especially women and underrepresented minorities. The information may also play a part in the selection process by permitting affirmative action selections among otherwise equally qualified applicants. Thus, you are requested to complete applicable parts of this section.)

____ Female ____ Male

____ Individual with Disability(ies)____ African American ____ Asian ____ Caucasian

____ Hispanic ____ Native American ____ Pacific Islander ______Other (Specify)

Student Signature: Date:

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Faculty Member: Please describe how the student's work will contribute to the research project. Will the student's work lead to co-authorship on a refereed publication or a professional presentation by the student?

Faculty name:

Position: Department:

Telephone: E-mail address:

Faculty Signature: Date:

Student: Return this form, a 2-4 page research proposal, and a letter of support from the faculty member, to your campus Space Grant representative. Your representative can be found at http://spacegrant.montana.edu/Text/ARES.html#list . A final report of at least 2 pages must be submitted to your campus Space Grant representative at the end of the term. Within the final report, provide a description of your research presentation. (Date, location, approximate number in attendance, name of conference, meeting, or school, etc.)