Space Academy for Students Scholarship Application

The INSPIRE Project, Inc.
107 S West Street
PMB #425
Alexandria, VA 22314-2824

[email protected]

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SPACE ACADEMY FOR STUDENTS SCHOLARSHIP APPLICATION
Please complete all required fields
STUDENT INFORMATION
First Name *
Middle Name *
Last Name *
Address *
Apartment Number/Unit number
City *
State *
Zip Code *
Gender Male Female *
Date of Birth (xx-xx-xxxx) *
Race *
Do you have any disabilities? *
If yes, please describe
Age *
Grade entering in the Fall? *
Name of school attending in Fall *
T-Shirt Size (Adult) *
PARENT/GUARDIAN INFORMATION
Primary Parent Name (for correspondence) *
Relationship to Student? *
Daytime Phone *
Home Phone
Parent Cell Phone
Primary Phone (in case of emergency) *
Parent Email (for all correspondence)
STUDENT ESSAY
Please submit your child's essay "Why I want to go to Space Camp" (250-500 words)
File Upload (PLEASE INCLUDE YOUR NAME IN THE DOCUMENT NAME - Example: JohnSmithSpaceCampEssay2013.pdf) Please submit your essay as a .pdf (preferred), .doc or .docx
Please print this form for your records before submitting.

Validation Code
*

The INSPIRE Project, Inc is a non-profit scientific educational corporation that provides engaging opportunities for students to observe naturally occurred Very Low Frequency (VLF) waves generated by lightning and in the process gain hands-on, real world experience in science and electronics. It seeks to enhance educators knowledge of atmospheric and space science to encourage our next generation of scientists. INSPIRE’s educational platform serves a wide range of science, technology, engineering and math (STEM) topics and programs.

© 2022 The INSPIRE Project, Inc.

The INSPIRE Project, Inc.
is a NASA educational portfolio program