2012 Posse Summer Leadership Award Application GENERAL INFORMATION Last Name First Name College or University + Site (i.e., DePauw CHI or UPENN MIA) Posse Number Graduation Date Major Minor Current Address Permanent Address Summer Address Current Telephone Number Summer Telephone Number Cell Phone Number Email PLEASE CHECK APPROPRIATE BOX: International Internship Domestic Internship PLEASE CHECK APPROPRIATE BOX: I have already updated my Posse profile in Posse Access. I have not updated my profile in Posse Access yet but will do so today. Visit: http://www.possefoundation.org/scholar-alumni-login INTERNSHIP INFORMATION Company/Organization Name Is this a US based non-profit organization (yes or no)? Organization Website Internship Mailing Address As of today, have you officially been offered a position at this organization? (Yes/No) If no, when do you expect to receive an official offer? Internship Supervisor’s Name and Title Internship Supervisor’s Telephone Number Email Internship Start and End Date (please be specific) Number of days per week you will work Hours per day you will work PAGE 1 of 4 PAGES Posse Summer Leadership Award Application (page 2) FINANCIAL INFORMATION In this section, please provide us with detailed information about the amount of money you will be making this summer, if any. Please be specific. 1. Will you be paid by the hour (yes or no)? a. If yes, how much will you be paid per hour? b. If no, how much will you be paid in total for the summer? 2. Have you applied for an award, stipend, salary or funding from any other organization including your college/university or your internship site (yes or no)? a. If yes, please answer the following: Will you be receiving any funding from these sources? How much will you receive from each source? Please provide a contact name and number for each funding source below, as we may contact them. b. If no, please explain why you did not apply for funding through your school: 3. Will your internship site be providing funding for expenses such as housing or transportation? SHORT ANSWERS Please answer the following questions thoughtfully, carefully and comprehensively. This is one of the most critical parts of your application. Each answer should be approximately 150 words. 1. Describe the mission and goals of the organization where you plan to work this summer. 2. How did you find out about this opportunity? In your answer, be sure to describe the application process. 3. What will be your primary job responsibilities? Please provide details about projects you plan to complete and any intended outcomes. 4. Please write about your future career goals or aspirations. How will this opportunity prepare you for those future goals both professionally and personally? 5. Please write about why working with this particular organization or community is meaningful to you. 6. Please describe a major accomplishment. PAGE 2 of 4 PAGES Posse Summer Leadership Award Application (page 3) RECOMMENDATION One recommendation is required. Please use the attached template (next page, #4) for your recommendation, which must be completed by your program director, trainer, or mentor. Completed recommendations should be sent, via email, to your Career Program Manager. Your application will not be considered complete without a recommendation. Who is providing you with a recommendation? Name Title Email Telephone Please provide the contact information for your Career Program Manager below: Career Program Manager Posse Site Email Telephone INTERNATIONAL INTERNSHIPS ONLY Please create a budget that lists your summer expenses and their estimated costs. Please research the potential costs and make your estimates as accurate as possible. Expenses Food Housing Airfare Transportation Other (be specific) Projected Cost Total: PAGE 3 of 4 PAGES Posse Summer Leadership Award Recommendation Form To the applicant: Please fill in the information below and email this form as an attachment to a Posse mentor, trainer or program director who knows you well. Your recommender should email this completed form directly to your Career Program Manager by March 23th. Late recommendations will not be considered. The name of your attachment should read: Name of Applicant_Award Recommendation. For example, “Jane Smith_Award Recommendation”. To the recommender: This form is a very important part of the Posse Summer Leadership Award application. We are interested in hearing about the level of responsibility and enthusiasm a Scholar has shown towards fulfilling the commitments associated with being a Posse Scholar. Your candid, detailed feedback helps ensure that the Scholars who display a high level of commitment and responsibility are rewarded. Please respond to the questions below and email this form to your Scholars Career Program Manager no later than March 16th. Your response is confidential. Thank you! Please rate the Scholar’s participation in the Posse activities listed below throughout his/her time as a Posse Scholar. Bold and underline your answer choice below. Scholar’s attendance at weekly Posse group meetings 1- Always Attends 2- Usually Attends 3- Sometimes Attends 4- Rarely/Never Attends Scholar’s attendance at bi-weekly 1-on-1’s with mentor 1- Always Attends 2- Usually Attends 3- Sometimes Attends 4- Rarely/Never Attends Scholar’s attendance at 1-on-1’s with Posse trainers and career program managers during campus visits 1- Always Attends 2- Usually Attends 3- Sometimes Attends 4- Rarely/Never Attends Scholar’s attendance at big meetings with Posse trainers and career program managers during campus visits 1- Always Attends 2- Usually Attends 3- Sometimes Attends 4- Rarely/Never Attends Scholar’s participation at the 2012 Posse Plus Retreat 1- Attended - active engagement 2- Attended - average engagement 3-Did not attend Please comment on the Scholar’s commitment to the Posse Program. Take into consideration his/her contributions to group meetings, retreats and general activities with Posse. Please comment on the Scholar’s level of responsibility with which he/she approaches academic and extracurricular commitments. Please use this section to comment on any additional information you would like to highlight about this Scholar (e.g.,, character, role in their Posse, contribution to campus, career plans, etc.) PAGE 4 of 4 PAGES