Dr. Nancy Foster Scholarship Program Annual Progress Rep

OMB Control #
Expires:

Nancy Foster Annual Pr ogr ess Repor t: ______________
(date)

__________________________________
(Recipient’ s Name)

1. Cur r ent Contact I nfor mation (str eet addr ess, e-mail, telephone number )

2. Scholar ’ s Activities

3. Accomplishments

4. Academic Pr ogr ess (also attach official tr anscr ipt indicating scholar has full-time
student status and academic ter m and cumulative GPA)

5. Resear ch Pr ogr ess (include name and contact infor mation for Academic/Resear ch
Advisor )

6. Academic/Resear ch Advisor ’ s Cer tification that the wor k is on tr ack (attach)

7. Publications

8. Descr ibe Planned or Completed Resear ch Collabor ation/I nter nship (include location of
NOAA facility, NOAA scientist and their contact infor mation, and status). I f the Resear ch
Collabor ation is complete, attach a tr ip r epor t to document accomplishments and include a
summar y testimonial of the exper ience.

PAPERWORK REDUCTION ACT INFORMATION
NOAA Office of Education administers the Dr. Nancy Foster Scholarship Program in order to promote the education and training of students in
NOAA sciences. The information contained in this evaluation will be used to evaluate the Scholarship Program. The information on this form will
be treated confidentially. Public reporting burden for this collection of information is estimated to average 1.5 hours per recipient including the time
for reviewing the instructions and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing the burden, to NOAA Office of Education, Dr. Nancy Foster
Scholarship Program, 1315 East-West Highway, Room 10725, Silver Spring, MD 20910.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to
comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays
a currently valid OMB Control Number.

OMB Control #
Expires:

9. Estimated Tuition for Upcoming Year (per semester /quar ter )

10. Academic Timeline

11. Planned Gr aduation Date

12. Cer tification of Enr ollment for Upcoming Semester /Quar ter (attach)

At the end of the Awar d,
13. Submit a Final Repor t encompassing accomplishments dur ing the awar d per iod and
post scholar ship plans, especially r egar ding NOAA.
14. Submit a copy of the final official tr anscr ipt which indicates degr ee ear ned, if
applicable.
15. Submit a copy of M aster ’ s thesis or PhD disser tation r esear ch

Retur n to:

M ilton M uldr ow
NOAA Educational Par tner ship Pr ogr am
Nancy Foster Scholar ship Pr ogr am
1315 East-West Highway
SSM C3, Room 10725
Silver Spr ing, M ar yland 20910
Phone: (301) 713-9437 x118
Fax:
(301) 713-9465
E-mail: foster scholar s@noaa.gov

PAPERWORK REDUCTION ACT INFORMATION
NOAA Office of Education administers the Dr. Nancy Foster Scholarship Program in order to promote the education and training of students in
NOAA sciences. The information contained in this evaluation will be used to evaluate the Scholarship Program. The information on this form will
be treated confidentially. Public reporting burden for this collection of information is estimated to average 1.5 hours per recipient including the time
for reviewing the instructions and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing the burden, to NOAA Office of Education, Dr. Nancy Foster
Scholarship Program, 1315 East-West Highway, Room 10725, Silver Spring, MD 20910.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to
comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays
a currently valid OMB Control Number.