WISH Application

DRAFT application for: Women in STEM High School Aerospace Scholars

Please Note: This is a sample application for viewing purposes only. The "Submit Application", "Save for Later" and "Logout" buttons do not do anything. To apply to this program please visit the application "New User Registration" page and register with the application system. (NOTE: When applicants register, they will be required to check a box “I understand” after reading the Privacy Statement before proceeding to the application.)

Application Due Date: TBD
         

Please save your work as you go as your session will time out after 60 minutes of inactivity.

Applications Due: TBD
Frequently Asked Questions

Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
e-mail:	john.doe@nonexistantbox.com
Home Address:
	,
Home Phone:	-
Text messaging:	Send application updates via text message Both cell phone and cell phone provider are required for this option. If your cell phone provider is not listed then this system does not support the texting option for your cell phone provider.
Cell Phone:	- Required only for texting option
Cell Phone Provider:	Required only for texting option
Birth date:	, 19
Parent/Legal Guardian:
Parent/Legal Guardian's Work or Cell Phone:	- -
Parent/Legal Guardian's email address
Email confirm
Are you a US Citizen?	Yes   No
Are you a female student?	Yes   No
Are you a high school junior?	Yes   No
School Information
School Name:
School Address:
	,
Guidance Counselor Name:
Guidance Counselor email:
Home School:	I am home schooled
GPA:	out of
Class Rank:	out of
CTE:	Are you now enrolled or have you completed career and technology education (CTE) coursework related to a science, technology, engineering, or mathematics occupational competency? Yes     No If you answered yes above, please list the CTE courses that you have taken.
Transcript:	Please upload a current transcript from your High School. If you do not have a PDF conversion tool you can use one of these free on-line PDF converters PDF Online - Neevia Technology To ensure that your transcripts may be properly included in your application file, please ensure that they are not protected via encryption, a password, a signed certificate or in any other manner. Please completely mark-out your social security number if it appears on your transcript. (PDF format only)
Post High-School Education:	What are your higher education plans after high school graduation? Please check all that apply. No Plans Career and/or Technical School Community College Four-year College Graduate school
Recommendation Letter	As part of your application packet you are required to provide a letter of recommendation from a teacher, school administrator, or counselor who can attest to your academic qualifications.
Name:
Title:
Institution:
Phone:
email:
email confirm:
	Once you have submitted your application, the system will email the person with instructions on how to submit an on-line letter of recommendation on your behalf. Please inform them that they will be receiving an email from applications@spacegrant.org with these instructions. Note: It is the responsibility of the student to follow up with the person who is providing a letter of recommendation to ensure the recommendation is submitted electronically by the deadline.
Legislative District Information	Look up your U.S. Representative
Representative's Name:
District:
Other Information	Explain why you wish to participate in the WISH project and why you would be successful. Describe personal characteristics, strengths and interests to support your explanation. (750 words or less) Please describe your career aspirations, extra-curricular activities, work experiences, volunteer work, honors, awards and hobbies. (750 words or less)
	How did you hear about the WISH project?
Optional Information	Students are strongly encouraged to provide the information requested below. This information is collected for federal reporting purposes only and is not accessible to the project's selection panel.
Ethnicity:
Race:
Person With Disability:	Yes No

Student Certification

By applying to the WISH project, you are acknowledging the following: The responses submitted on this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that a knowing and willful false statement on this application will forfeit my participation in the WISH project. Personal responsibility for submission of required online assignments and final project; adhering to the due dates posted on the website. All assignments, including the final project, will be completed using the honor system. Online assignments will be graded by certified teachers using the rubric(s) posted on the website. Students will be selected for the summer workshop experience based on the following criterion: completion of application by the deadline of TBD, Essay content, Recommendation letter, GPA/RANK, Completion, timeliness, and academic performance of all online assignments and the final project. Efforts will also be made to ensure geographic diversity of selected applicants. Should I be selected for the summer experience, I will be available July 31-August 5, 2011.

Parent Certification

By your child applying to the WISH project, you are acknowledging the following: I give permission for my student to submit the WISH application and attend the summer experience if selected. The submission of this application is voluntary. The responses submitted on this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that a knowing and willful false statement on this application will forfeit my child’s participation in the WISH project. My child is personally responsible for submission of required online assignments and final project; adhering to the due dates posted on the website. All assignments, including the final project, will be completed using the honor system. Online assignments will be graded by certified teachers using the rubric(s) posted on the website. Students will be selected for the summer workshop experience based on the following criterion: completion of application by the deadline of TBD, Essay content, Recommendation letter, GPA/RANK, Completion, timeliness, and academic performance of all online assignments and the final project. Efforts will also be made to ensure geographic diversity of selected applicants. Should my child be selected for the summer experience, student will be available July 31-August 5, 2011.

Please save your work as you go as your session will time out after 60 minutes of inactivity.

         
Application Due Date: TBD

Bottom of Form

Please Note: This is a sample application for viewing purposes only. The "Submit Application", "Save for Later" and "Logout" buttons do not do anything. To apply to this program please visit the application "New User Registration" page and register with the application system.

Return to the WISH Website