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Lunar and Planetary Institute

2019 LPI Exploration Science Summer Intern Program

Application Form

Form closes on January 25, 2019 at 11:59 p.m., U.S. Central Standard Time, GMT -6



Denotes required field

Contact Information


Permanent Address
Address During the School Semester
Scholastic Information

(4.0 = A, 3.0 = B)

Biographical Information
English Reference
Letters of Recommendation

Three (3) letters of recommendation are required and must be submitted electronically by the application deadline. Recommenders must submit their letters through the online form. Letters sent by e-mail and later letters will not be accepted. Please list the names of individuals who will be submitting letters of recommendation.

Full Name E-mail Address
1.
2.
3.
Citizenship1
Demographics Information

USRA is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, USRA invites internship applicants to voluntarily self-identify their gender, race, and ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

As government contractors, USRA also complies with government regulations including but not limited to affirmative action responsibilities as required under Executive Order 11246, Section 503 of the Rehabilitation Act of 1973, section 4212 of the Vietnam Veterans Readjustment Act of 1974, and Veterans Employment Opportunities Act (VEOA) of 1998.

Race / Ethnicity
Select one or more of the following races:
U.S. Veteran Status
Disability Status:

Other NASA-supported internship programs may request that we share information about our applicants to include in their selection processes. In the event that you are not selected for the LPI Exploration Science Summer Intern Program, your information could be provided for these opportunities. We will not share your information without your permission, and your response to this question has no impact on your candidacy for the LPI Exploration Science Summer Intern Program.

Should I not be selected for the LPI Exploration Science Summer Intern Program,





1 The selected candidates must qualify and meet the 12 guidelines of the Homeland Security Presidential Directive by obtaining a favorable background investigation and an approved Access Control Plan before the beginning of the internship. Requests for Foreign Nationals from Designated Countries will be forwarded to and approved by Headquarters' Office of International and Interagency Relations (OIIR) before final approval by the Center's International Visit Coordinator (IVC). The Designated Country Foreign visitor must begin the process early enough to allow sufficient time prior to the visit for pre-visit identity vetting to be conducted and completed by the center IVC. The processing of profiles in IdMAX for the vetting of Designated Country Foreign Nationals can take up to 45 days to process prior to the arrival date at the Johnson Space Center. After the vetting process for an DCFN badge, the subsequent NASA HQ approvals are required by the HQ's Security Office/Desk Officer, Export Control, and IVC.

For additional information for Designated Countries List visit http://oiir.hq.nasa.gov/nasaecp/.

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