NSBE JEDI Padawan Application
Reminder: the number of Padawans is limited by the number of JEDI Mentors. You must be a current undergraduate student and NSBE member to apply to be a JEDI Padawan.
Full Name
*
Mr.
Mrs.
Miss.
Ms.
Prefix
First Name
Middle Name
Last Name
Suffix
JEDI Mentor
Do not answer. To be assigned by the JEDI Council.
Academic Information
University
*
If your university has multiple campuses, please indicate the specific campus where you physically attend classes.
Major
*
Additional Major(s)
Enter "NONE" or leave blank if you are pursuing a single bachelors level degree.
Minor(s), Concentration(s), Certificate(s), etc.
*
Upload Your Most Recent Transcript
*
An unofficial transcript is acceptable. GPA must be indicated. If attended(ing) multiple universities include all transcripts as a zip file.
Expected Graduation Date
*
Additional Universities
Complete if attending/attended additional colleges or universities (e.g. Dual Degree student, Community College graduate, etc.) Provide campus name(s), major(s), degree (A.S., B.S., etc.) and expected graduation date.
Contact Information
Cell Phone Number
*
-
Area Code
Phone Number
Campus E-mail
*
Personal E-mail
*
Campus Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Permanent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
NSBE Information
Current NSBE Chapter
*
NSBE Region
*
Please Select
Region I
Region II
Region III
Region IV
Region V
Region VI
Have you paid national and regional dues for the current year?
*
Yes
No
Have you paid chapter dues for your chapter?
*
Yes
No
Please upload one or more recommendations from a current NEB or REB member or a chapter executive officer.
Upload a File
Recommendations are not mandatory, but applications without recommendation will be given significantly lower priority than those with them. In the event that we receive more applications for a given project team than we have mentors available, applications without recommendations will not be considered. A minimum of one recommendation and a maximum of five should be submitted. Recommendations may be in document form or screen prints of emails or social media messages. See http://jedi.nsbe-space.org/jedi-registration/padawan-recommendations for additional guidelines.
Cancel
of
General Information
Hobbies and Special Interests
*
Space-Related Areas of Interest
*
Upload your resume in .doc or .pdf format
*
Upload a headshot in .jpg, .png, or .gif format
*
Upload a summary of space-related activities (internships, projects, independent activities, outreaches, etc.) you have conducted or participated in. Use.doc or .pdf format
*
List the top 10 space agencies or companies you would prefer for career employment (different field center/bases can be listed as separate entries)
*
Identify your top choice for a Space SIG project assignment
*
Please Select
Arusha Rover Deployable Maintenance Workstation (Houston area only)
Arusha Rover Deployable Medical Workstation (Houston area only)
Arusha Rover Crew Exercise
Arusha Rover Cabin Structures
Arusha Rover Power Subsystem
East Africa Spaceport Feasibility Study
Macho Mengi Observatory System
Power Beaming Demonstration Unit (DC area only)
Space Robotics
Visions for Human Space Flight Working Group
Explain why this project is of interest to you
*
Select any alternatives of interest in the event your top choice is unavailable
*
Arusha Rover Cabin Structures
Arusha Rover Cockpit
Arusha Rover Crew Exercise
Arusha Rover Deployable Maintenance Workstation
Arusha Rover Deployable Medical Workstation
Arusha Rover Deployable Sleep Stations
Arusha Rover Waste and Hygiene Crew Station
Arusha Rover Mobility Subsystem
Arusha Rover Power Subsystem
Arusha Rover Thermal Subsystem
East Africa Spaceport Feasibility Study
Mars Desert Research Station NSBE Expedition
Mars Desert Research Station NSBE Tricorder
Visions for Human Space Flight Working Group
Do you have a Mentor preference? If so, please describe.
In the event that we have to choose between your project priorities and mentor priorities when making your assignment, which should we give higher consideration?
*
Project
Mentor
Do you have access to a NSBE Jr. chapter to engage for space-related middle and high school outreach? If so, please indicate which chapter(s) and the schools or community groups they are associated with.
Do you have access to other youth organizations to engage for space-related K-12 outreach? If so, please indicate which organization(s) and describe the type of access you have.
Do you commit to remain in the JEDI project until graduation?
*
Yes
No
Do you commit to five hours per week in support of your assigned Space SIG project? This includes both project work and project outreach.
*
Yes
No
May we list you as a Space SIG Champion in NSBE Connect?
*
Yes
No
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