NOAA-EPP Living Marine Resources Cooperative Science Center Application for IMET-UMCES Summer Internship 2015 Important: As per NOAA EPP Cooperative Science Center Handbook, all NOAA EPP CSC-funded students must be United States citizens and full-time students. EPP funds for direct student support shall be provided for students maintaining a minimum 3.0 grade point average (GPA) per school term. You must submit an unofficial transcript and a valid proof of US Citizenship with your application. Please continue with your application only if you meet these criteria. Please complete as Word document and email to LMRCSC-apps@umces.edu, along with your proof of US Citizenship and unofficial transcript. Complete applications due March 15, 2015 Name: __________________________________________________________________________ Last First Middle Social Security Number: _______________ Date of Birth: ________________ MM/DD/YYYY Semester Mailing Address: _________________________________________________________ Street ________________________________________________________________________________ City State Zip Telephone: ___________ Cell: ___________ Email: ___________________________________ Permanent Mailing Address: _________________________________________________________ Street ________________________________________________________________________________ City State Zip Name and address of parent, spouse or guardian to notify in case of emergency: Name: _____________________________ Relationship: _________________________________ Address:______________________________________________________ __________________ Street City State Zip Telephone: ___________ Cell/Work: ___________ Email: _________________ Self-Description please check all that apply (optional). ___ Male ___ Female ___ African American ___ American Indian/Alaska Native ___ White/Caucasian ___ Asian, ___ Hispanic ___ Puerto Rican/Mainland ___ Puerto Rican/Commonwealth ___ Other Pacific Islander ___ Other __________________ ___ Prefer to Not Report Are you a U.S. citizen? Yes __ No __ Military Status (check one): Non-vet __; Vet __; Vietnam vet __; active reserve __: retired ___; special disability __ Highest level of education (check one): High school grad __; Associate’s degree __; Bachelor’s degree __; Some graduate study __ Do you have a residence in the Baltimore area this summer: Yes __ No __ (not a basis for selection) Education 1. Where did you attend high school? _____________________________________________________________________________________ 2. List the institution you currently attend. Name Location ______________________________________________________________________________ ______________________________________________________________________________ 2. Year in college (Academic Year 2013-2014): Freshman ___ Sophomore ___ 3. Major: ___________________ Junior ____ Senior ___ 4. Expected graduation date (MM/YYYY): ___________________ 5. Current GPA: ____________________ 6. To help us understand your background, please list relevant science courses, completed and in progress: Grade or "In Progress” Course subject ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 7. List any other research internships you have completed: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 8. List any honors you have received, honorary organizations to which you belong and offices held: ______________________________________________________________________________ ______________________________________________________________________________ OTHER INFORMATION Has an IMET mentor agreed to sponsor you? Yes __ No __ If yes, who is the mentor? ________________________ If no, are there projects offered that you are particularly interested in? ___________________________ LMRCSC faculty approval Verification of the information on this form by a campus faculty member will expedite your acceptance. Faculty member: _________________________________________________________________ Name Partner Institution 2 Date UMCES-IMET SUMMER INTERNSHIP The mission of the Institute of Marine and Environmental Technology (IMET) is to apply the tools of modern biology and biotechnology to study, protect and enhance marine and estuarine resources. The summer internship will provide orientation to working in a lab, seminars on the use of molecular techniques in fisheries and environmental research, a one-day workshop on communicating science, and a research project with an IMET faculty mentor. IMET is housed in a technologically advanced research facility. All rules and regulations of conduct must be followed for your safety and the safety of others. These rules and regulations will be described during the Orientation Session, to be held Monday June 1, 2015. The duration of the internship is Monday June 1 through Friday, July 31, 2015. It is a full-time position. Please do not apply if you can only be here for part of the specified time, have another job or are attending classes during the day. Final reports will be presented on Friday, July 31. Friends and family are encouraged to attend this event. You are expected to participate fully in the daily operation of the laboratory to which you are assigned, attend lab meetings and posted seminars, and conduct research as outlined by your mentor. Evenings and weekends may be required. Once you accept the internship, you will be obligated to work 40 hours per week for the full duration of the project, June 1 through July 31 and present your findings in an oral report and a poster on July 31. IMET will endeavor to provide summer housing for students from outside the Baltimore metropolitan area. If you need housing, please state that at the top of page 2. As per NOAA EPP Cooperative Science Center Handbook, all NOAA EPP CSC-funded students must be United States citizens and full-time students. EPP funds for direct student support shall be provided for students maintaining a minimum 3.0 grade point average (GPA) per school term. You must submit an unofficial transcript and a valid proof of US Citizenship with your application. I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions and agree to the above conditions. I attest to the accuracy of the information provided. __________________________________________________________________ Signature Date Submit this form by email to: Dr. Rosemary Jagus LMRCSC-apps@umces.edu 3