ALUMNAE AND DONOR SPONSORED

INTERNSHIP GRANT PROPOSAL FORM

This application MUST be typed in Word format.

Please answer ALL questions

Important: Before completing the application, see eligibility requirements: www.barnard.edu/ocd/pdf/internship-policies.doc

You will automatically be disqualified if:

1)      Your internship does not meet the eligibility requirements.

2)      Your résumé is not attached, or any required information is missing.

3)      You only submit one copy of the application.

Please submit the original and one copy of this application in total AND in addition, e-mail your application to Annapurna Potluri at apotluri@barnard.edu. Late applications will not be accepted. Copies cannot be made at the Career Development office.

If you are studying abroad and need to email your application, you must tell us that you are doing so; otherwise we will not know to make a second copy, and you will be disqualified.

INFORMATION

Name:

Year of Graduation:

McIntosh Mailbox # (or other academic year address):

Telephone #:

Email Address:

Home Address, City, State, Zip Code:

Major:

Minor/Concentration (if applicable):

Are you currently abroad?

Do you receive financial aid from Barnard?

Are you a recipient of a Barnard College Job or a Federal Work Study award? 

Have you applied for an internship grant in the past?  If yes, when did you apply?

DESCRIPTION OF INTERNSHIP

Name of Organization:

Address:

Is this internship abroad?

Is your internship in the New York City area?

Name, Title, and Department of Internship Supervisor:

Supervisor’s Telephone #:

How/Where did you learn about this internship?

Does this organization offer paid internships/stipends?  If yes, please elaborate.

Is your internship paid?

Does this organization have non-profit status?

Have you applied for funding from other sources?  If yes, please elaborate and also tell us if/when you will receive this funding.

Number of hours per week you will work:

Number of weeks you will work:

Start Date and End Date of the Internship:

In the event that you are unable to receive an internship grant, please describe how it will affect your internship plans.

Is this internship part of a course or independent study?  If yes, please elaborate.

 29b

The following three essays should be as specific and as detailed as possible.  Essays must also be typed in Word format.  Proofread all essays!  Internship grants are competitive and the quality of the essays is a MAJOR component in the decision making process.   You may write three essays or combine your answers in one essay. 

PLEASE DO NOT INCLUDE ANY ADDITIONAL MATERIALS EXCEPT FOR A RESUME WHICH IS REQUIRED.

Internship Description:  Please describe in detail: a) the organization where you will be interning; b) why you would like to intern there; and c) your responsibilities and projects as an intern.

Learning Objectives:  Please explain why you have chosen to do this internship.  Include: a) what you hope to learn from this experience; b) how the internship relates to your studies; and c) your future career goals.

Supervision:  Describe the supervision you will be provided.  Indicate from whom you will receive your supervision, as well as the types of instruction and assistance to be expected.

      29c

A representative from the organization with which you plan to perform your internship must fill out and sign the acknowledgment below.  Please print legibly.

THIS FORM IS THE ONLY PART OF THE APPLICATION THAT CAN BE SUBMITTED AFTER THE DEADLINE IF NECESSARY.  PLEASE PRINT!!!

YOU MUST SUBMIT THE ORIGINAL TO CAREER DEVELOPMENT.

FAXES/E-MAILS UNACCPETABLE.

Organization:                                                                                                               

Name of representative:                                                                                                           

Title:                                                                                                                                        

I hereby acknowledge that I have read the internship description attached and certify that

                                                                         has been selected

to intern with our organization from ______________  to _______________.  

                                                                         start date                   end date

Signature of representative:                                                                                          

Will the representative signing this form serve as the internship supervisor?

  ___ yes     ____  no

29d

                                                                                                                                             
MARSTELLER APPLICANT SUPPLEMENTAL FORM

You only need to fill this form out if you qualify for a Marsteller Internship Grant.  In order to qualify for a Marsteller Internship Grant you must be registered with the Office of Disability Services. 

Please describe your disability

Have you self-identified your disability to your internship supervisor?  Why or why not?

Does your disability have any impact on this particular internship?  Why or why not?

ODS 8/08

29e