Application Form - Savannah State University

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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”.
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