Stanford in Government
Stipends Program Application Form
Summer 2014
General Information
First name:
Last name:
Email address:
Phone number:
SUID #:
Class:
Major(s) (or expected major):
Minor(s) (or expected minor):
Internship site name and city:
List any previous coursework or work experience related to public policy (note there is no right or wrong
answer to this question):
List all previous fellowship awards from Haas Center, Stanford in Government or other University
departments:
How did you hear about SIG stipends?:
Internship Information
Internship site name:
Supervisor name and title:
Supervisor email:
Supervisor phone number:
Name of faculty member in the broader field of my internship with whom I could meet prior to my
internship for advice on my learning goals if I am awarded the stipend:
Current financial aid recipient? (yes/no)
NOTE: Stipend awards cannot be combined with other university funds for the same internship position.
If the stipend recipient is found to have received additional funding from the university, the stipend will
be revoked.
Basic Internship Requirements Check List (please answer yes or no):
(The internship must be 1. unpaid, 2. full time, 3. nine weeks long, 4. in a country not on the U.S. State
Department warning list, 5. in what we define as a public policy organization, and 6. must NOT be direct
service or engage in partisan activity)
Internship is unpaid:
Internship is at least nine weeks long:
Internship is fulltime (at least 35 hours weekly):
US State Department has issued a travel warning for the country in which the internship is
located:
5. Internship is in at least one of the following bodies. Please select one.
a) a governmental organization
b) a think tank
1.
2.
3.
4.
c) a non-profit organization
d) a media organization focused on public policy or politics
6. Internship work is directly related to at least one of the following. Please select one.
a) government functions related to policy-making
b) research related to politics, public policy, or government, but it involves the application of
research into public policy
c) implementation or development of policy
7. Internship is with a political campaign or partisan organization:
8. Internship is in direct social services (such as tutoring, medical services, recreational services,
community improvement services):
Short Answer Questions (100 words maximum each)
1. Describe the specific work scope and tasks in your 9-week internship. What is the role of the
office?
2. Describe how your internship is, by nature, in public policy, as defined above (government
functions related to policy-making, research related to public policy or government,
implementation or development of policy).
3. Elaborate on your reason for applying for a stipend. Would you be able to take this unpaid
internship without the stipend? What are your summer plans in case you do not receive a stipend?
Essay question (300 words maximum)
Please elaborate on your reasons for choosing this work for the summer. Be sure to cover (1)why you are
interested in policy in general or in this specific aspect of policy (2)how your internship fits with your
education goals (3) any previous experience/coursework in the field you are connecting to public policy
through your internship
Budget Plan
Please provide a line-item breakdown of your estimated cost of living budget so we can ensure the
stipend can cover your living expenses. The budget must include housing, food, and transportation, both
to your internship and during the time of your internship.
Internship Site Questionnaire
Your supervisor from the host organization must provide a written response to each of the following
questions. Your supervisor should submit his/her responses to sigstipends@gmail.com
Questions:
1. Please provide general information about your organization, including its mission, when the
organization was founded, and current number of staff.
2. Please outline the intern’s job/project description. What tasks and responsibilities do you foresee
offering this student during his/her nine-week, fulltime internship?
3. How are the intern’s specific tasks related to public policy?
Please send an email to sigstipends@gmail.com with any questions.
Application Checklist
All items to be submitted to sigstipends@gmail.com by 11:59pm February 15th 2014 for the first
deadline or April 19th, 2014 for the second deadline.
1.
2.
3.
4.
5.
Stanford In Government Stipends Program Application Form
Detailed budget plan
Health insurance documentation
Internship Site Questionnaire
For undeclared students only, list of all courses taken so far and courses planned for next
academic year, quarter by quarter
I certify that I
-Have answered all questions truthfully
-Submitted accurate documentation
-Will rescind any additional funding I receive if I commit to funding my internship through a SIG Stipend
-If selected, will attend the required orientations (dates TBD)
Name:
Date: