NASA Planetary Geology and Geophysics Undergraduate Research Program Application

INSTRUCTIONS: Please complete this form and use the "Submit Application" button to submit. Official transcripts from all institutions attended and two letters of academic reference are required, and must be sent separately to the address at the bottom of the form in time to be received by January 29, 2016.

You may submit applications at any time, but they will not be reviewed until January 29, 2016.

All fields marked with a red asterisk (*) are required.

* First Name: * Last Name:

* Current Address



State, zip code:

* Current Telephone Number:

* Permanent Address:



State, zip code:

* Permanent Telephone Number:
* E-mail Address: * Birthdate (please format mm/dd/yyyy, e.g., 11/21/1992):
* Are you a U.S. citizen? Yes No If not, give country of citizenship:
* University or college presently attending: * Date of graduation (please format mm/yy, e.g., 05/12):
College or university previously attended (if applicable): Dates attended (please format mm/yy, e.g., 08/09 - 05/11):
* Current Major/Minor (e.g., Geology/Physics): * Area of Specialty or Interest (e.g., volcanology):
* Overall Quality Point Average/Grade Point Average (on a 4.0 scale):
* Major Quality Point Average/Grade Point Average (on a 4.0 scale):
* Science Quality Point Average/Grade Point Average (on a 4.0 scale):
Graduate Schools Applied to (if applicable):

* Names of Academic References:



* Preferred Work Period:
* Relevant Work Experience or Training (e.g., computer programming, field work, laboratory experience):

* Letter of Application

Applicants must submit a letter of application that includes:

Your statement should be equivalent to 1-3 typewritten pages (approximately 250-750 words). We encourage you to construct the statement in a word processing program, proof it, and then cut and paste it into the box below. Applications will be partly judged on the quality of this letter.


This application, official transcripts from all institutions attended, and two letters of academic reference (which may be sent separately) must be received by February 2, 2015. Send to:

Ms. Robyn Wagner
Department of Geology, 411 Cooke Hall
University at Buffalo
Buffalo, NY 14260-3050
Telephone: (716) 645-4857; Fax: (716) 645-3999; PGGURP "at"

In accordance with federal and state laws, no person in whatever relationship with the State University of New York at Buffalo shall be subject to discrimination on the basis of age, religion or creed, color, disability, national origin, race, ethnicity, sex, marital or veteran status. Additionally, Governor's Executive Order 28 and the board of Trustees Policy prohibit discrimination on the basis of sexual orientation.