2007 Internship Program Application

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SMITHSONIAN ENVIRONMENTAL RESEARCH CENTER
INTERNSHIP PROGRAM APPLICATION

To use this application, please print it out, fill in the information
and send it with your completed packet to:

Smithsonian Environmental Research Center

ATTN: Fellowship Coordinator

P.O. Box 28

Edgewater, MD 21037-0028

Please type your information or use black ink

APPLICATION FOR:

[ ] SPRING 2009 (Jan - April)

[ ] SUMMER 2009 (May - August)

[ ] FALL 2009 (May - August)

NAME: (Mr. / Ms.)

Last _____________________ First ___________________ Middle __________

CITIZENSHIP________________

TYPE OF VISA IF CURRENTLY IN U.S.___________________

EMAIL ADDRESS:___________________________________________________________

CURRENT MAILING ADDRESS:

__________________________________________________________________________

___________________________________________ PHONE_________________________

PERMANENT MAILING ADDRESS:

__________________________________________________________________________

___________________________________________ PHONE_________________________

ADDRESS TO WHICH ALL CORRESPONDENCE SHOULD BE SENT:

[ ] CURRENT (until _________) [ ] PERMANENT

PROJECTS: What are the specific projects you wish to be considered for (maximum 3)? List choices in order of preference. **Please include one complete photocopy of this application packet for EACH project selected.

1 _________________________________________________________________________

2 _________________________________________________________________________

3 _________________________________________________________________________

PRESENT ACADEMIC LEVEL:

[ ] Undergraduate - Specify class: Fr / So / Jr / Sr

[ ] Graduate student (Master level students only)

[ ] Recent graduate (Month/Year _________________________ )

NOTE: If applying as a recent graduate, internship appointment must begin within six months of graduation date.

COLLEGES/UNIVERSITIES: Please provide the following information for each college/university attended (Please provide transcripts (unofficial are acceptable) for all coursework completed and in progress):

			Degree(s)/Dates
School:	Major:	Dates Attended:	Awarded/Expected:

__________________________________________________________________________

ACADEMIC CREDIT: If accepted, will you receive academic credit for your study at the Smithsonian Environmental Research Center? [ ] YES [ ] NO

SPECIAL SKILLS: List any special skills such as mathematical training, computer experience, field technique experience etc. that you consider relevant to your proposal for study at the Smithsonian Environmental Research Center (Attach additional page if needed). ___________________________________________________________________________

___________________________________________________________________________

REFERENCES: List the names, addresses (email and postal), phone numbers, and relationship of two individuals whom you are asking to submit letters of recommendation to the Center. These individuals should be asked to read your essay and comment directly upon it, in addition to any other comments they may wish to offer.

1)________________________________________________________________________

__________________________________________________________________________

2)________________________________________________________________________

__________________________________________________________________________

HOUSING:

Would dormitory space be required? [ ] YES [ ] NO

Would you be interested in room rentals in the local area if dorm space is not available, contacts will be supplied (you must be able to bring personal transportation)? [ ] YES [ ] NO

HOW DID YOU HEAR ABOUT THIS PROGRAM? (please be specific)

[ ] SERC website (if you found address via search engine, please specify which one____________________)

[ ] Link to SERC website via other web site (specify address _________________________)

[ ] Conference/Convention (specify _______________________________________)

[ ] Career Center (specify college/university________________________________)

[ ] Academic Advisor (name_____________________________________________)

[ ] Other (specify _____________________________________________________)

DO YOU CONSIDER YOURSELF HANDICAPPED OR PHYSICALLY CHALLENGED? (optional, check all that apply):

[ ] I am not handicapped or physically challenged	[ ] Mobility/Orthopedic Impairment
[ ] Visual Impairment	[ ] Other ____________________

PERSONAL ESSAY: Attach to these pages an essay (2-3 pages) outlining your past and present academic and nonacademic experience and their relation to the goals you are pursuing at the Smithsonian Environmental Research Center's Internship Program in Environmental Studies.

(Signed)_______________________________________(Date)_______________

Please print out the Letter to Referee and Waiver Agreement to give to your referees along with your essay.