CALS NYS Internship Program 2016 STUDENT APPLICATION
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1 1 of 6 1/19/2016 3:53 PM Default Question Block CALS NYS Internship Program 2016 STUDENT APPLICATION **As you complete this online application please keep the following in mind: The information you enter in the online form is automatically saved. If you do not complete the application in one sitting, you should be able to click on the application link, retrieve your partial response, and start where you left off. HOWEVER, to start where you left off, you MUST return to the survey on the same computer and on the same web browser, without having cleared your cookies in between starting and returning to the application. You may access a pdf of the application for informational purposes by clicking here. Questions may be directed to Heidi Mouillesseaux-Kunzman, CALS NYS Internship Program Coordinator, at calsnysinternship@cornell.edu or Name First name: Middle Name: Last name: Contact Information - & Phone Phone number (i.e.: xxx-xxx-xxxx):
2 2 of 6 1/19/2016 3:53 PM Contact Information - Address at Cornell Street/Dorm: PO Box or Apartment #: City: State (2-letter abbreviation): Zip code: Contact Information - Address at Home Street: PO Box or Apartment #: City: State (2-letter abbreviation): Country Zip code or Country postal code (if Country is not U.S.): Academic Information Current academic class (i.e.: First Year, Sophomore, Junior, Graduate Student scheduled to graduate January 2017 or later). Major: Major (2nd) Minor: Minor (2nd) Degree to be earned: Expected date of graduation (month/year): Statement of Interest and Goals Why do you want to be a CALS NYS Internship Program intern?
3 3 of 6 1/19/2016 3:53 PM What do you hope to learn/gain through this opportunity? How do you see your participation in this program contributing to your education and/or career plans/goals? Relevant Course, Work, and Life Experience Have you interned or held a job in the past? Yes No When and with what entity did you previously intern or work? What aspects of this internship or job experience were most important to you? Tell us about the skills, interests, and/or experiences you possess that will make us see you as a unique, engaging, and well-suited candidate for the CALS NYS internship program overall. (You will have an opportunity to articulate your qualifications for a specific internship position(s) you are applying for in a letter of interest, as described below under "Supplementary Information." OPTIONAL: What else, if anything, do you want us to know about why you are applying to be a part of the CALS NYS Internship Program?
4 4 of 6 1/19/2016 3:53 PM Internship Position Specific Information Identify (in order of preference) up to three internship positions you would like to be considered for. Insert the full name of the internship position into the appropriate space below. Click here for a list of this year's internship opportunities. First Choice: Second Choice: Third Choice: References Please provide the names and contact information (phone number and ) of two (2) individuals (other than relatives) AND your academic advisor. Your references should be able to speak to your ability to successfully fulfill the responsibilities and complete the requirements of this internship program. Please alert these individuals that you have used them as a reference and that they may be hearing from a representative of the CALS NYS Internship Program. First reference Name: Phone number: Relationship to you: Second reference Name: Phone number: Relationship to you: Academic advisor Name: Phone number:
5 5 of 6 1/19/2016 3:53 PM Housing, Transportation, and Availability The internship program consists of three parts, ALL of which must be completed by program participants*: A 1-credit, 8-week orientation course (DSOC 4200) that meets 1.25 hours per week, from 7:30-8:45pm Monday evenings, starting March 7, 2016 and ending May 9, The internship and community engagement component, involving 40 hours per week, starting Monday, June 6, 2016 and ending Friday, August 12, A 1-credit independent study course, in the Fall of 2016 In addition, CALS NYS Internship. In addition, program participants are responsible for their own housing and transportation. *Students who will be studying away from Cornell during the Spring and Fall semesters may still eligible to participate in the CALS NYS Internship Program. We will make every effort to work with you to accommodate your completion of the required course(s). Please contact Heidi Mouillesseaux-Kunzman (calsnysinternship@cornell.edu or ) to discuss your particular circumstances. Please check the following box to indicate that you have read and understand that if you are selected to participate in the CALS NYS Internship Program you (1) must participate in the spring course, summer internship and community engagement component, and fall independent study course; and (2) will be responsible for finding your own housing and providing your own transportation. I have read, understand, and agree to comply with the program requirements stated above. Comments: Complete the following if you plan to study abroad or at a U.S. institution other than Cornell during Spring 2016 or Fall 2016: Country and Institution you will be studying at: Date you will depart Cornell for program (mm/dd/yyyy): Date you will return to Cornell (mm/dd /yyyy): Supplementary Information In addition to completing this form, to complete this application, you must submit the following three items as instructed below: 1. A copy of your most recent transcript You can request an electronic copy, online, through the Registrar s Office. Please request that your transcript be sent to you and then forward it as per the instructions below. This way you will know for sure that the transcript was sent and you have a copy of it, should you need it for future reference. 2. A copy of your current resume Your resume should be saved as a PDF and labeled as RESUME.[Your Last Name and First Initial] e.g.: RESUME.SmithM
6 6 of 6 1/19/2016 3:53 PM 3. A Letter of Interest for the host of each position you are applying for (meaning you could have up to three letters) Your letter of interest should state why you are interested in that particular internship with that particular host and why your education, skills, and experience would be an asset to the position / host.to keep it simple, we encourage you to consider using the same basic outline for all three hosts but in each letter, tailoring a paragraph or two to that specific host/position. Each letter of interest should be saved as an individual PDF and labeled as LOI.[Your Last Name and First Initial and Host Name ], e.g.: LOISmithMAcme ***All supplementary items should be submitted to Heidi Mouillesseaux-Kunzman via Cornell's Dropbox (dropbox.cornell.edu). If you are unfamiliar with Dropbox, please see instructions below. Cornell Dropbox Instructions: 1. Go to dropbox.cornell.edu 2. Login using the Cornell Net ID Login option. 3. Once in the site, click on Prepare Upload at the far right in the list of icons above the Inbox. 4. Enter hmm1 in the To box under Send File(s); When Heidi Mouillesseaux-Kunzman pops up, click add. 5. Enter the number of files you are sending. 6. Click Browse to upload the files from your computer. When you see the file name to the right of the Browse button, click Send. Thank you for your interest in the CALS NYS Internship Program. Please select the forward arrow below to submit your application.
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