Please fill out this questionnaire if you are willing to act as a mentor for a Space Grant Fellow or Trainee and have a suitable research project.

Name (First, M.I., Last):

Field:

Department and Bldg. Number:

Campus:       Manoa       Hilo       Other (please specify):

E-mail:

Phone:

Are you willing to mentor a Fellow or Trainee?       Fellow       Trainee       Either

Information about the research project. Please describe in 200 words or less.

What courses and other qualifications are needed by the student?

Please explain how this research is related to NASA's goals (available at http://www.nasa.gov). Please describe in 100 words or less.
Ignore this section if the project concerns the study of objects in space or the Earth from space.

Thank you for your interest in mentoring a Space Grant undergraduate student.
The information you provide in this form will be submitted to Dr. Ed Scott, the Associate Director for Fellowships (office suite POST 515).