NASA Pathways Preentry Worksheet * indicates a required field Name* First Last Personal Email* Enter Email Confirm Email Please provide an email address that will be accessible to you throughout your internship.NASA Facility*Ames Research CenterArmstrong Flight Research CenterGlenn Research CenterGoddard Space Flight CenterHeadquartersIV&VJohnson Space CenterKennedy Space CenterLangley Research CenterMarshall Space Flight CenterNASA Shared Services CenterStennis Space CenterWallops Flight FacilityWhite Sands Test FacilityPlease select the NASA facility at which you will be working.Degree Level*Associate'sBachelor'sMaster'sDoctorateVocational/Technical CertificateOtherDegree Completion Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025Date you expect to complete all degree requirements.Work ScheduleSchedule Type* Full time Part time Monday: Start Time Hours : Minutes AM PM AM/PM Monday: End Time Hours : Minutes AM PM AM/PM Tuesday: Start Time Hours : Minutes AM PM AM/PM Tuesday: End Time Hours : Minutes AM PM AM/PM Wednesday: Start Time Hours : Minutes AM PM AM/PM Wednesday: End Time Hours : Minutes AM PM AM/PM Thursday: Start Time Hours : Minutes AM PM AM/PM Thursday: End Time Hours : Minutes AM PM AM/PM Friday: Start Time Hours : Minutes AM PM AM/PM Friday: End Time Hours : Minutes AM PM AM/PM Work PeriodsWork periods are coordinated with and approved by your supervisor and a Pathways Program specialist. Calculate your projected graduation date by including all work periods. You must complete a minimum of 480 hours of work at NASA prior to completing your degree requirements. Many interns follow a traditional cooperative education model, alternating between periods of work and leave without pay. Example: Intern works a fall semester at NASA, takes leave without pay for the spring semester to attend school, then returns to NASA to work the summer semester. Some work continuously at NASA while taking classes until graduation. A work period is a period during which you are charging work hours to NASA and are not on leave without pay. If you will be working continuously at NASA, your work period will begin with your entry on duty and end on your school graduation date. Changes to this schedule are at the discretion of the supervisor and is dependent on funding availability and subject to coordination with the Pathways Program Specialist. Requests for extended leave without pay or non-work terms are subject to approval by your supervisor in coordination with the Pathways Program Specialist. Please provide, below, a proposed schedule of up to five work periods.Work Period 1Start DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025Work Period 2Start DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025Work Period 3Start DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025Work Period 4Start DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025Work Period 5Start DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025CAPTCHACommentsThis field is for validation purposes and should be left unchanged.