APPLICATION for a Derian/CBLI Research Intern: Summer 2016
(Tentative dates: June 6– August 5, 2016)
Organization Name:
Your Name:
Title:
Phone:
Email:
RESEARCH QUESTIONS/INTERESTS
Identify the information you are seeking or describe what you would like to learn as a result of an
intern’s research. (List up to three research questions or areas of interest.)
Research Question #1:
Research Question #2:
Research Question #3:
DATA
Does your organization (or your affiliates) have previously-collected data that may be used for the
intern’s research?
Yes
No
Unsure
If yes, please describe:
Does your organization (or your affiliates) use any established assessment tools for data collection
that relate to the research you would like an intern to perform?
Yes
No
Unsure
If yes, please describe:
POSITION REQUIREMENTS
List any specific requirements (testing, licensing, background checks, etc.) – or if none, check:
None
(Requirements)
Will the intern need a vehicle in order to complete tasks or conduct program research?
Yes
No
Unsure
OTHER
Does your organization have existing workspace and equipment available for a full-time intern?
Yes
No
Unsure
Who will be the intern’s primary supervisor and advisor?
Has your agency previously hosted a Derian/CBLI intern?
Yes *
No
Unsure
If yes, what changes, if any, do you anticipate making this year if you are selected to host another
intern?
Submit your completed application by Tuesday, November 24, 2015 to: mbohn@princeton.edu
All applicants will be informed of CBLI’s selections by early December.
NOTE: Organizations selected to host 2016 CBLI interns will be required to provide additional detail
about final research projects, data sources, and supervision before the internship begins.