Name (Last, First, MI) Office Name and ID Title/Pay Plan and Grade Home Address Supervisor Name & Permanent Full-Time Employee (indicate Yes/No) Have you previously participated in the Continuing Education Program (CEP)? YES NO If yes, when did you participate? What was your career goal? Educational Background Mark the choice below that best describes your educational background. High school High school graduate High school graduate High school graduate Other (explain) graduate with no with vocational or with fewer than 15 with greater than 15 college credit technical training college credits college credits but no college degree If you have taken college courses, please provide the information below. Previous Dates of attendance Major Subject Area Number of Overall GPA College/University Courses/Credits (or Attended CEUs) Received Please provide a list any college courses you have taken. For each course, indicate the number of credits (or CEUs) you received, the grade you received, the college where the course was taken, and the date the course was completed. In lieu of the list, you may attach a copy/copies of your transcript(s) or similar printouts/documents that provide this information. II. CAREER GOAL AND EDUCATION REQUIREMENTS (Please complete the questions below. You are not limited to the amount of space you require to answer the questions fully) Please list the NASA career goal in which you are interested.
Name (Last, First, MI) Office Name and ID Title/Pay Plan and Grade Home Address Supervisor Name & Permanent Full-Time Employee (indicate Yes/No) Have you previously participated in the Continuing Education Program (CEP)? YES NO If yes, when did you participate? What was your career goal? Educational Background Mark the choice below that best describes your educational background. High school graduate with no college credit High school graduate with vocational or technical training High school graduate with fewer than 15 college credits High school graduate with greater than 15 college credits but no college degree Other (explain) If you have taken college courses, please provide the information below. Previous College/University Attended Dates of attendance Major Subject Area Number of Courses/Credits (or CEUs) Received Overall GPA Please provide a list any college courses you have taken. For each course, indicate the number of credits (or CEUs) you received, the grade you received, the college where the course was taken, and the date the course was completed. In lieu of the list, you may attach a copy/copies of your transcript(s) or similar printouts/documents that provide this information. II. CAREER GOAL AND EDUCATION REQUIREMENTS (Please complete the questions below. You are not limited to the amount of space you require to answer the questions fully) Please list the NASA career goal in which you are interested.
CEP_Application_Form_4-30-12.docx