0648-0568 APPLICATION_ EPP-MSI Graduate Fellowship Program

OMB Control Number 0648-0568, expires XX/XX/20XX

NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application
Application Instructions:

I.

PERSONAL DATA

Name (Last, First Middle Initial)

Are you a US Citizen? (Yes or No)

Date of Birth (Month/Year)

Mailing Address

Phone Number

Email Address

EPP/MSI Cooperative Science Center and Academic Institution
Academic Status: Master’s ☐ PhD ☐

Anticipated Graduation Date
How did you learn about the NOAA EPP/MSI Graduate Fellowship Opportunity?

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application
EDUCATION:
Provide a chronological list of schools attended, beginning with the most recent. List name of school,
dates attended and degree earned. List only undergraduate and graduate institutions.
THIS INFORMATION IS NOT A SUBSTITUTE FOR THE REQUIRED OFFICIAL TRANSCRIPT(S)

School

Dates Attended

Degree Earned

EMPLOYMENT INFORMATION:
Name of Current Employer:
Address:
Phone Number:
Supervisor/Manager:
II.

REFERENCE INFORMATION

Applicants must submit 3 letters of recommendation and a letter of support from the proposed NOAA
mentor. The letters of recommendation must be on Institution letterhead, signed by the recommender
and submitted as part of the application package. The letter of support must be sent from the NOAA
employee’s noaa.gov email account. The recommendations and letter of support should be a maximum
of 2 pages.
Letters of Recommendation are extremely important and should provide information that is not
provided in the application. Recommendations should speak to your professional competency and
accomplishments to date in your field or area of study. Letters of recommendation should be provided
directly to the Center Director and not viewed by the applicant.
Recommender #1 - NOAA EPP/MSI Center Director

NOAA EPP/MSI Center Director

Email Address

Recommender #2 - Academic Advisor

Academic Advisor

Email Address

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application

Recommender #3 – CSC Distinguished Research Professor/Scientist

CSC Distinguished Research Professor/Scientist

Email Address

Letter of Support – Proposed NOAA mentor

NOAA Employee

III.

Email Address

VOLUNTEER ACTIVITIES AND AWARDS

List volunteer and/or Public Service Award, beginning with the most recent and going back no more than
5 years.

IV

AWARDS AND PUBLICATIONS

Provide a chronological list of academic or civic awards, beginning with the most recent, going back no
more than five years.

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application
V.

CONTRIBUTIONS

Describe what you consider to be your most significant professional or volunteer accomplishment as it
relates to your academic pursuit, including its contribution to the NOAA mission. Limit the narrative to
no more than 200 words
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application

VI.

PERSONAL STATEMENT

See EPP/MSI Graduate Fellowship Program description of required essays. Applicants will be judged on
the clarity and quality of writing as well as the content.

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application
VII.

MOTIVATION FOR APPLYING TO THE NOAA EPP/MSI GRADUATE FELLOWSHIP PROGRAM

Describe your motivation for applying to the NOAA Graduate Fellowship Program, what you consider
your major strengths and qualifications for the program. Limit the narrative to no more than 300 words.

VIII.

PROJECT PLAN

See EPP/MSI Graduate Fellowship Program description of required essays. Applicants will be
judged on the clarity of the proposal and its alignment with NOAA’s mission. (Attach separately)

IX.

CERTIFICATION
Applicants must certify that the information submitted to NOAA is valid. Failure to certify will
disqualify you from consideration for the NOAA GFP

Applicant Signature

Date

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NOAA Office of Education
Educational Partnership Program with Minority Serving Institutions
Graduate Fellowship Program Application
Public Burden Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a
penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995
unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this
information collection is 0648-0568. Without this approval, we could not conduct this information collection. Public reporting for
this information collection is estimated to be approximately 12 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information
collection. All responses to this information collection are required to obtain benefits. Send comments regarding this burden
estimate or any other aspect of this information collection, including suggestions for reducing this burden to the NOAA Office of
Education, Natasha White, [email protected].
Privacy Act Statement
Authority: The collection of this information is authorized under 5 U.S.C. 301, Departmental Regulations and 15 U.S.C. 1512,
Powers and duties of Department.
Purpose: NOAA’s Office of Education proposes to collect contact information and associated background information of
undergraduate and graduate students, as well as recent graduates, for the purpose of tracking scholarship recipients’ academic
progress, making annual financial awards, and tracking graduate studies and career progress. Demographic information will be
used to measure the success of stated Diversity, Equity, Inclusion, and Justice (DEIJ) goals only. This information will not be
used to determine program eligibility.
NOAA Routine Uses: NOAA will use this information to evaluate and assess student data and information for the purpose of
selecting successful candidates for scholarships, fellowships and internships, generating internal NOAA reports, and articles to
demonstrate the success of its program.
Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among NOAA staff
for work-related purposes. Disclosure of this information is also subject to all of the published routine uses as identified in the
Privacy Act System of Records Notice Commerce/NOAA-14, Office of Education, Educational Partnership Program (EPP);
Ernest F. Hollings Undergraduate Scholarship Program and National Marine Fisheries Service Recruitment, Training, and
Research Program.
Obligation to Respond: Furnishing this information is voluntary; however, failure to provide information may prevent
consideration of your application for the program.

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