INTERNSHIP/PRACTICUM APPLICATION FORM

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1 INTERNSHIP/PRACTICUM APPLICATION FORM PERSONAL INFORMATION Name Date of Birth Institutional Affiliation Degree Program Expected graduation date Phone number INTERNSHIP INFORMATION Areas of Interest i Start/End Dates Funding Sources ADDITIONAL QUESTIONS (max 150 words each) Why are you interested in pursuing an internship in the Millennium Villages? What do you expect to gain from this internship? Do you have previous experience working or living in a developing country? If so, tell us about it. Please describe why you are a good candidate for an internship with the MVP, with specific reference to your top choice, including any specific skills or work experience you may have. Will you be able to undertake this internship without financial assistance from the MVP? Language Proficiency ii PROJECT RANKING Please list your top five projects in order of preference (projects listed in appendix)

2 CERTIFICATION My statements on this form, and any attachments to it, are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that knowingly false answers will lead to the rejection of my application or immediate dismissal from the program. Signature (type name if sending by ) Date i Example Research / Development Areas: Infrastructure (General), Public Health, Information / Communication Technology, Electricity, Roads & Transportation, Water, Ecology / Environment, Agriculture, Education, Community Development, Business Development Public Health Sub-sectors: Cardiovascular Disease, Community Health Education/Training, Community Development, Epidemiology, Data Analysis, Emergency Obstetric Care, Gender Issues, Health Education, Health Systems Monitoring and Evaluation, Infectious disease (Malaria, NTD,HIV/AIDS, TB), Maternal and Neonatal Health, National Health Policy, Nutrition, School Feeding, Oral Health, Ophthalmology, Reproductive Health, Family Planning, Sanitation, Hygiene ii Please list the languages you speak and your proficiency level. High: You can communicate effectively in all situations. Moderate: You can communicate comfortably in familiar situations. Basic: You can communicate in predictable contexts but with some difficulty.

3 MVP Student Internship Projects Summer2011 Country Ethiopia Ghana Kenya Project Description 1. Develop a cost benefits analysis of a venture regarding the processing and packaging of fresh tomatoes, which are being grown by farmers from irrigated or rain-fed plots. 2. Develop a business plan regarding involvement of smallholder farmers in horticulture production/production of a variety of vegetables. Business plan should discuss inputs, sales and a cost benefit analysis. 3. Develop a business plan regarding a project to fatten cattle to sell them to a nearby meet processing plant. 4. Develop a business plan regarding the value chain of milk production by farmers, including transportation to a central location, quality control, handing of raw milk, transportation to the processing plant, payment schemes, etc. Business plan should explore the feasibility and profitability of the scheme. 5. Develop a business plan for a poultry project for a group of youth and people living with HIVAIDS. 1. Assessment and documentation of capacities of local institutions. 2. Assessment and documentation of water issues prior to the construction of the small town water systems. 3. Assessment and documentation Identifying constraints on the effective operations of cooperatives- farmer based organizations. 4. Assessment and documentation on harnessing organic manure in the tropical rainforest. 5. Assessment and documentation on effects/benefits of energy interventions. 1. Assessment on uptake of ICT by the schools. 2. Assessment and documentation of organizing, managing and sustaining community based institutions (Farmer coops, Various administrative groups, cereal banks, SMCs). 3. Assessment and documentation on factors affecting enterprise uptake. 4. Assessment and documentation on factors responsible for low uptake of HIV services by men. 5. Assessment and documentation on effect of mobile phone usage on intervention uptake. 6. Assessment and documentation on factors influencing choice of family planning methods. 7. Determinants of a functional Community Based Information System (CBIS).

4 Senegal Tanzania 1. Evaluation de la capacité de production laitière et projections d ici 2015 à partir des produits issus du programme d insémination artificielle. 2. Appui aux transformatrices de produits halieutiques pour la mise en place d un système de production respectant les normes de qualité et pour le développement de marchés et débouchés commerciaux. 3. Développement de marchés et recherche de débouchés commerciaux des produits agricoles locaux. 4. Microfinance et systèmes financiers décentralisés: système de crédit adapté pour le cluster. 5. Problématique du transfert des compétences en santé-nutrition-hygiène de l école vers la communauté. 6. Quelle stratégie pour la systématisation du lavage des en milieu communautaire? 7. Utilisation des moustiquaires imprégnées dans les ménages: défis et perspectives. 8. Problématique de la planification familiale dans le cluster de Potou. 9. Prise en charge des enfants MAM avec les produits locaux. 10. Problématique de l alimentation des femmes enceintes. 11. Amélioration de la gestion des ouvrages hydrauliques. 12. Vers la mise en place d une stratégie efficace pour l achat de pièces de rechange et l entretien des systèmes énergétiques installés dans les structures communautaires. 13. Appui à la mise en place d une structure de gestion et d infrastructures touristiques attractives pour la Réserve Naturelle Communautaire (RNC) de Potou. 14. Etudes de la biodiversité de la réserve naturelle communautaire de Potou. 1. Develop a plan for hygiene programs in primary and secondary schools. The program will later expand to health clinics and the larger community. 2. Create a standardized protocol for diagnosing and treating severe acute malnutrition, including accurate training on use of RUTFs. For projects on and two, joint-deliverables are: Establishment of health clubs or some other structure at schools (based on what students want and deem appropriate); student-generated educational material; specific behavior steps in hygiene and nutrition for students to carry out at home, to change the culture in their homes. 3. Develop and implement matrix for tracking progress of secondary school scholarship recipients. 4. Develop a creative business plan for hotel or eco-tourism that protects the woodlands and will generate revenue for the area (it should include a strategy for attracting investors for a hotel, recreational park, or eco-tourism. 2-pronged plan).

5 Uganda 1. Develop a plan for Institutional strengthening and organizational development of local institutions. 2. Assess level of participation of different social segments in MVP activities. 3. Assessment of effectiveness of the community radio and community centre and whether it is meeting the information and communication needs of Ruhiira villagers 4. Develop support process to ensure grain warehouses in Ruhiira are compliant with requirements of the Uganda Commodity exchange and warehouse receipt system, and WFP purchase for progress. 5. Develop value chain support for specialty coffee production and marketing. 6. Develop program to empowering women and youth through craft production and marketing. 7. Review the subsidy system for agricultural inputs with respect to level of participation, farmer perceptions and attitudes, and recommend any changes to current system. 8. Profile indigenous vegetables with respect to their abundance, household preferences, and nutritional attributes, and develop a dissemination strategy for potential ones. 9. Conduct GIS mapping of all infrastructure installation in Ruhiira and conduct spatial analysis to determine population coverage levels of these infrastructures. 10. Assess interventions on household water purification: assess adoption rate, attitudes and perceptions, and develop dissemination strategy for PUR water purifiers. 11. Develop program to manage malnutrition at household and health facility levels. 12. Assess perception, attitudes and barriers towards contraception use at household levels. 13. Assessment of the community health worker program: community participation, attitudes, and perceptions. 14. Participation in the year 5 impact surveys in following areas: - Enumerator training on survey tools, survey adaption, Survey piloting and actual data collection; - Data entry processes including training data clerks and template adaptation using Cspro software V4.0+, ensuring control at data entry through data verification mechanisms; - Data analysis to generate quick indicators from each survey module.

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