Mark only one oval.. Please note that if you are accepted into the program, the expected time commitment is roughly 3-4hrs a week.. * Required Your Name Last Name, First Name * Your Em
Trang 12
3
4
Mark only one oval.
Other:
Freshman Sophomore Junior Senior
5
SAi Summer Internship Application
Please complete the form below to admission consideration into the program Please note
that if you are accepted into the program, the expected time commitment is roughly 3-4hrs a
week Decisions will be sent in March
* Required
Your Name (Last Name, First Name) *
Your Email *
Your current institution (e.g., UT Austin, Boston University, Morehouse College, etc) *
Your Undergraduate year *
Please enter your current major: *
Trang 2https://docs.google.com/forms/d/1M-o-c41wb2KhwVoe5VS3QxPl4BT0MYd-DkSoNicQZ2o/edit 2/5
6
7
Mark only one oval.
Other:
Man Woman Non Binary Prefer not to say
8
Mark only one oval.
Other:
Asian Black or African American Hispanic or Latino
Native American or American Indian White or Caucasian
Native Hawaiian or Other Pacific Islander Prefer not to say
What is the most interesting class you have taken so far? In one or two sentences,
why was it interesting?
Please enter your gender: *
What is your ethnicity? *
Trang 3Mark only one oval.
Yes No
10
11
Are you are a US citizen or permanent resident? Please note that although US
citizenship/permanent residency is not a requirement, we are not able to pay interns
that are on the US F1 Visa *
If you answered 'No' above, please let us know your citizenship status below:
In less than 500 words, please tell us about your self and why you are interested in
participating as a summer intern in the program (please ensure to describe your
research interests in science communication/science engagement/citizen science
etc and mention 1-2 SAi residents/staff whom you'd be interested to work with)
Explore the residents/staff here: https://stemadvocacy.org/our-residents*
Trang 4https://docs.google.com/forms/d/1M-o-c41wb2KhwVoe5VS3QxPl4BT0MYd-DkSoNicQZ2o/edit 4/5
12
Mark only one oval.
Other:
Not sure Graduate School (PhD) Postbac
Graduate School (Masters) Find a job
Take a gap year Freelance
13
14
15
Mark only one oval.
Other:
SAi Website Google Social Media Word of Mouth
What would you like to do after you finish your undergraduate degree? *
Please enter the name, role, and email of one recommender This individual might
be contacted if additional information is needed (e.g., Mary Smith, Professor,
msmith@someuniversity.edu or John Smith, Director of Y, jsmith@xyz.com) *
Please submit a URL that links to your resume/CV *
How did you hear about the program? *
Trang 5This content is neither created nor endorsed by Google.
Please enter any other information below: