NSF EDGE Program, Marine Sciences Internship Application Please complete this application in Word and see below for submission instructions. I am applying for the following type(s) of Internships(s). You may check more than one. Coastal Research Team (PT) Research (FT) Community Partnership (PT/FT) 1. STUDENT INFORMATION Last Name Middle First Name Date of Birth (MM/DD/YYYY) Student ID Number Current Mailing Address Street City State Phone Cell Email Zip SSU Email Permanent Address Street City Email 2. COLLEGES AND UNIVERSITIES Current College or University NAME Major Expected Graduation Date State Zip Phone NSF EDGE Program, Marine Sciences Internship Application What is your CURRENT year in college? Freshman Sophomore Junior Senior Recent Graduate To give us a feel for your background, please list college science and math courses you have completed as well as courses in progress. 3. INTERESTS AND EXPERIENCE List any relevant research, internship, employment, extracurricular or volunteer experiences. If you are requesting renewal of an existing EDGE Internship, please describe your research project in some detail. NSF EDGE Program, Marine Sciences Internship Application List areas of interest and preference for internship placement. List skills that you want to develop and/or other reasons for wanting an EDGE internship. 4. REFERENCES Advisor’s Name Phone Email Name of 2nd Reference Title/Position/ or Relationship to you Phone School/Affiliation Email Name of 3nd Reference Title/Position/ or Relationship to you Phone School/Affiliation Email NSF EDGE Program, Marine Sciences Internship Application 5. SELF-DESCRIPTION Are you a U.S. Citizen or Permanent Resident? Yes No If you are a permanent resident please list your visa type. Are you a: Male Female Select your Ethnicity (select only one) African American Mexican American/Chicano American Indian/Alaskan Native White/ Caucasian Puerto Rican/Mainland Puerto Rican/Commonwealth Native Hawaiian Asian Other Pacific Islander Other (specify) 6. OTHER INFORMATION Are you taking classes this summer? Yes No Do you have access to reliable transportation? (relevant for off-campus positions) Yes No Yes No Yes No If accepted, do you plan to live on-campus? (free housing may be available, but it is not guaranteed) Will you be working part-time this summer in addition to the internship? (limits internships to PT option) If you answered "Yes" in the previous question, please list employer(s) below. Position/Award Employer/Source of Award Dates (MM/YYYY – MM/YYYY) NSF EDGE Program, Marine Sciences Internship Application If you are applying for a full-time summer EDGE research internship, please describe your proposed project below. Identify the faculty member who you discussed this project with and who has agreed to mentor you if awarded an internship. 7. PAWS TRANSCRIPT Please copy and paste your PAWS transcript here. 8. SUBMISSION INSTRUCTIONS Once you have completed this application, save the file with your name in the filename in the following format: LastFirst_InternApplication-EDGE.doc. E-mail the file to EDGE@savannahstate.edu. Use the email subject line of: “EDGE intern application”.