University of Maryland Biotechnology Institute Center for Advanced Research in Biotechnology Center for Biosystems Research HIIG GH H SC CH HO OO OL L ST TU UD DE EN NT T INNTTEERRNNSSHHIIPP PRRO OG GR RA AM M The University of Maryland Biotechnology Institute Center for Advanced Research in Biotechnology (CARB) / Center for Biosystems Research (CBR, Shady Grove) is supporting a local internship program for high school students. The goal of this program is to provide an opportunity for highly motivated students to work with mentors to explore career opportunities in the fields of: Biotechnology Computer Technology Administrative and Facilities Operations. Students will work with a mentor headed by one of the CARB/CBR faculty and staff. Site program information can be found on the CARB/CBR web sites accessed through: www.umbi.umd.edu. There are three options to this program. Priority placement will be given to students enrolled in the MCPS Biotechnology program and have taken or concurrent Molecular Biology (or) Molecular Biotechnology AND are applying for summer + academic year placement. There is a separate application for this program. Students not enrolled in this program are also encouraged to apply to be eligible for consideration for remaining placements. Full year: Summer + Academic Year credit program: A one-year program of summer internship + academic year internship. Students may receive summer pay and MCPS Internship course credit for the academic semesters. Summer only: Paid internship. Course credit may be arranged. Academic Year only: Students must be enrolled in the MCPS Internship course and will receive course credit. Interested students can obtain additional information from Mrs. L. Adler Lesli_A_Adler@mcpsmd.org UMBI: CARB /CBR High School Internship Program Application Procedure Friday, February 5, 2010 Application Timetable: 1. Complete the attached worksheet and submit it to Mrs. Adler by Friday, February 5, 2010 2. Applications will be evaluated for completion and will be sent to CARB/CBR the following week. CARB/CBR will schedule interviews with the students they think are best qualified and notify applicants of placement. Application Requirements: Please note: Acceptance into this program is contingent upon your providing verification of your eligibility to be employed in the United States All Interns must have the following: Documentation showing authorization to work in the United States. List of Acceptable Documents: http://umbi.umd.edu/human-resources/images/i9form4-3-2009.pdf- See last page Social Security Number If you are under the age of 18 years, you MUST submit a Work Permit before you may begin work (Please contact your school for a Work Permit application). Personal Information: Complete the Student Application. Make sure all items are completed and clearly, legibly printed. Applicants will be notified by email. The applicant will be eliminated from the email is returned as undeliverable. Transcript: Include your most recent unofficial transcript. Teacher Recommendation: You will need signatures from two teachers (one a science teacher) stating that they are willing to write a complete recommendation for you. There is a space for this on the worksheet. (You will need their email addresses because they will be contacted by email to provide your recommendations. It is crucial that you obtain the correct email addresses and print that information legibly Personal Essay: Visit the CARB/CBR websites http://www.umbi.umd.edu/home.php and review the CARB and CBR (Shady Grove) Research Highlights. Choose an area of research that interests you. Write a short essay (limit 1 page; 300 words) explaining the importance of this type of research and why it interests you. Attach a printed copy with the application. Hints: Follow the directions. Have someone else proofread your essay: You may know what you meant to say, but make sure someone else understands your message. Use spell check. Resume: Provide a short resume that lists your activities, especially those related to science. Information on how to write a resume is available http://www.aie.org/finding-a-career/sample-resumes-and-templates/ STUDENT APPLICATION for INTERNSHIP at CARB/CBR Your School: ________________________________________________________ Appointment is contingent upon verification of eligibility to be employed in the United States and meeting all other program entrance requirements. Applying to this program does not guarantee placement All Interns must have the following: Documentation showing authorization to work in the United States. List of Acceptable Documents: http://umbi.umd.edu/human-resources/images/i9form4-3-2009.pdf- See last page Social Security Number If you are under the age of 18 years, you MUST submit a Work Permit before you may begin work (Please contact your school for a Work Permit application). Please clearly print the following information: Applying for: Summer + Academic Year___ To Work In: Research Lab ____ Summer Only: ___ Academic Year Only ___ Computer Technology_____ Administrative/Facilities _____ Name: __________________________________________ Student Number: ____________ Address: ______________________________________________________________________ House Number & Street City State Zip Code Home Phone: ______________________ Cell Phone: __________________________ E mail: PRINT CLEARLY: ______________________________________________ Citizenship: _______________ Year in High School (2010)__________ Birth Date: _________ Mother Father Name Work Phone Work Location Email: ______________________ Parent signature, date _____________________ Student signature, date Continue Next Page SCIENCE, MATH & COMPUTER CLASSES WITH GRADES AND LEVEL Course Title Check if Honors Final Grade Year Taken Currently Enrolled? (Y/N) Anatomy & Physiology AP Biology Biology Chemistry AP Chemistry Physics AP Physics Molecular Biology Molecular Biotechnology AP Environmental Science Engineering Science Algebra II Calculus Geometry Software Applications Other: _______________ Other: _______________ Other:________________ Other: _______________ Science Teacher Recommendation Teacher Recommendation Name Name Signature Signature e-mail e-mail Continue Next Page PARENT/GUARDIAN PERMISSION I give my permission to have my student to participate in the UMBI/ CARB/CBR Student Intern Program during the semesters indicated. I understand that my child must provide his/her own transportation. Since this is a work site, I also understand that in order for my child to participate in this program, he/she may not be able to participate in other scheduled activities. In addition to work with the mentor, my student will participate with his/her cohort during the internship. The cohort will attend meetings with other interns, submitting weekly time sheets and reflections, prepare a culminating presentation, etc. If my son/daughter is selected for the summer + academic year option, he/she must register for the MCPS Internship course for the academic year. Internship is an MCPS course with curriculum, assignments, and grade. Grades will be entered onto the student’s transcript. Students who applied under this option and do NOT enroll in the required MCPS Science Internship course may be dropped from this internship site. Contact your school’s internship coordinator for further information about the internship course Parent/Guardian’s Signature _____________________________ Date _______ Student Signature: _____________________________________ Date _______ Did you also include: o Resume o Essay o Transcript Return the completed application package to: Mrs. Lesli Adler Student Internship Program 9600 Gudelsky Dr. Rockville, MD 20850 By Friday, February 5, 2010