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2013 Student-Initiated Summer Internship/Research Project Funding Application

Priority Application Deadline: February 15, 2013.

A second round of funding will be coordinated contingent on funds availability:
March 15, 2013 deadline.

  • Please review this application form in its entirety before beginning.
  • If you close the application before completing it, your entries will not be saved.
  • All application materials must be submitted together electronically.
  • Graduating seniors and students from other institutions are not eligible to apply.

Please select the program you are applying for funding from:

A. Applicant Information

Last Name:
First Name:
Preferred Name or Nickname: (if different from above)
Class Year:
Major: (if decided)
Certificate Programs:
Note: Hold down Ctrl or Command key for multiple selections
Residential College Affiliation:
PUID (found on PUID card):
Princeton University E-Mail Address:

B. Internship Sponsor Organization

Name of Organization:
Website:
Title of Internship/Research Project Position:
Internship/Research Project Abstract:
(Provide a brief description, 150 words maximum, of the internship/research project. The description must include the name and location of the organization, the length of the internship/research project (number of weeks), and the main purpose of the internship/research project.)
Name of Primary Work Supervisor:
Title:
Supervisor's E-Mail: (If known)
Address:
Phone:
Location of Internship/Research Project Position Within Organization:
(specify department/program/unit)
Internship Address: (if different from organization address above)
Internship Country:
On-Site Emergency Phone:
Note: Funding is awarded for full-time work, 35 hours per week minimum, for a peroid of no less than 8 contiguous weeks.

Internship/Research Project Start Date (mm-dd-yyyy):
Internship/Research Project End Date (mm-dd-yyyy):
Total Number of Weeks:
For applicants who are members of the class of 2013, will the outcome of this internship be a primary source of data for your senior thesis?
If you responded yes to the question above, who is your adviser?

C. Internship/Research Project Proposal

Please write a description of your proposed internship/research project and upload it as a Word document. The proposal must address the following.
1. Purpose
  • One paragraph summary of the primary purpose of this summer internship/research project, including how it addresses the related Grand Challenges initiative and/or specific environmental issue, topic, theme of interest to you
2. Work
  • Background on organization, including type, history, size, mission, goals, successes, challenges
  • Your understanding of the issues and/or community addressed by the organization and your internship/research project
  • Your understanding of the internship/research project work, including tasks and responsibilities over the duration of the summer
  • The objective of your work
3. Interest
  • Why you want to address this particular environmental issue and/or work with this particular organization and/or community
  • How your academic studies, work and personal experiences have prepared you for this internship/research project
4. Outcomes
  • The expected contribution/impact of your work on the organization and the issues it addresses
  • What you hope to learn from this internship/research project, including new knowledge, skills, and perspectives
  • How this internship/research project will relate to your continued academic studies, extracurricular and/or career path


Use the following naming convention to save your file:
last name_first name_proposal.doc.

D. Supervisor Commitment

Discuss your goals and what you hope to learn from this internship/research project with the person who will be your primary work supervisor. The supervisor must then indicate his/her commitment to the internship/research project by submitting the online Supervisor Commitment Form.

In order for your funding application to be considered complete, the supervisor must submit this form by the application deadline date.

E. References

Please provide names and contact information for two references (people who are not related to you), who could be contacted if necessary. One should be a person who knows you well in an academic context, preferably a faculty member. The other should be a person who knows you in a work or extracurricular context.
1. Academic Reference Name:
Department/Program:
E-Mail:
Phone:
2. Other (work/extracurricular) Reference Name:
Organization:
E-Mail:
Phone:

F. Resume

Please upload a one-page resume that includes a clear outline of your education (including your academic focus and academic awards) work history, public service experience (on and off campus), and relevant skills. Use the following naming convention to save your file: last name_first name_resume.doc.

(For assistance in preparing your resume, visit Career Services.)

G. For International Internships/Research Projects Only

If you have been abroad before, briefly describe your experience.
If a foreign language is required for this internship/research project, describe your level of proficiency:
Please read the following important statements and indicate your agreement below.
  • I agree that I am responsible for knowing what documentation is necessary (a valid passport, travel visa, proof of immunizations) for travel to this destination and to acquire what is needed.
  • I agree to confirm with my medical insurance provider that my medical insurance will cover me abroad during the duration of this internship.
  • I agree that I am responsible for knowing what immunizations are required and recommended for travel to this destination and for receiving any immunizations necessary. (For assistance with travel-related immunizations, visit University Health Services.)
  • I agree to register with International SOS and the U.S. embassy of my destination.

H. Transcript

One copy of your unofficial Princeton transcript should be submitted with your completed application. Using SCORE, retrieve a copy of your transcript and use the following naming convention to save your file: last name_first name_transcript.pdf.

I. Agreement

In applying for this internship/research project, I agree to participate in and/or complete the following:
  • Fulfill my commitment to complete the work assigned to me to the best of my ability, and to work the agreed upon number of weeks
  • Enter my information in the Princeton University Travel Database as soon as possible but no later than May 10, 2013
  • Participate in the PEI/GC pre-departure orientation on April 19, 2013
  • Complete IRB training, if applicable
  • Respond to communication from PEI/GC during the course of the internship/research project
  • Prepare post-internship/research project materials, including internship summary as requested by sponsoring program
  • Participate in a PEI/GC post-internship/research project symposium in fall 2013
  • Complete a final evaluation in fall 2013
  • Acknowledge the support of PEI/GC in any report, publication, or testimonial provided to any University department/program or outside entity that makes reference to this summer internship/research project


  • I understand that upon acceptance of this internship/research project and the PEI/Grand Challenges funding award, I have a binding commitment to fulfill the terms of my agreement as described above. I also acknowledge that I will withdraw my applications to other internships/research projects and/or funding sponsors. Reneging on my agreement after acceptance will result in a letter being submitted to the Office of the Dean of Undergraduate Students.
Date:
Policy on the Release of Confidential Student Records to PEI: In submitting this application, I permit the Princeton Environmental Institute to inquire about my student disciplinary records at Princeton, and I permit the Office of the Dean of Undergraduate Students to release such records to the Princeton Environmental Institute. Information from other offices at Princeton, e.g. residential colleges or others, may be requested as part of the application review process to ensure that all students can have a safe and productive experience. Please note that any information received by the Princeton Environmental Institute will not be released to any third parties outside of Princeton University (staff/administrators/faculty), including organizations hosting summer interns.

Privacy Policy: For the purpose of applying for an internship/research project with PEI/Grand Challenges, I hereby consent to the release/disclosure of the information and documents that I am providing with this application, including but not limited to my resume, transcript, essays, and other personal information, to the organizations that I have identified in Section B. Additionally, should I accept an internship/research project offer, I consent to have any written documentation or photographs that I provide regarding the internship/research project released/disclosed to University officials, internship/research project sponsors and/or supervisors as well as posted on University websites and/or reproduced in printed materials to promote the internship/research project program(s). Written material may be used in its entirety or excerpts may be selected.

Please acknowledge your consent:
Nondiscrimination Statement: In compliance with Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and other federal, state, and local laws, Princeton University does not discriminate on the basis of age, race, color, sex, sexual orientation, gender identity, religion, national or ethnic origin, disability, or veteran status in any phase of its employment process, in any phase of its admission or financial aid programs, or other aspects of its educational programs or activities. The vice provost for institutional equity and diversity is the individual designated by the University to coordinate its efforts to comply with Title IX, Section 504 and other equal opportunity and affirmative action regulations and laws. Questions or concerns regarding Title IX, Section 504 or other aspects of Princeton’s equal opportunity or affirmative action programs should be directed to the Office of the Vice Provost for Institutional Equity and Diversity, Princeton University, 205 Nassau Hall, Princeton, NJ 08544 or (609) 258-6110.

J. Final Checklist

Before you click on FINAL SUBMIT, please stop and make sure you have completed the entire application.
All of these materials must be submitted electronically; nothing will be accepted on paper. If you have any questions about using this online application form or other aspects of the application process, please email peintern@princeton.edu.

If you are sure that you are ready, please click on the Submit button to conclude the online application process.