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Bates Environmental Internship Application Form
Student Name:
*
First
Last
Bates ID:
*
Class Year:
*
Email:
*
Preferred Phone:
*
Home Address (NOT your Bates campus address):
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
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Aruba
Australia
Austria
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Belarus
Belgium
Belize
Benin
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Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Bulgaria
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Burundi
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Cameroon
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Cook Islands
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Guyana
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Indonesia
Iran
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Ireland
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Israel
Italy
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Jersey
Jordan
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Korea, Republic of
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
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Liberia
Libya
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Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
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Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia and the South Sandwich Islands
South Sudan
Spain
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Sudan
Suriname
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Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
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Tuvalu
Türkiye
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Uganda
Ukraine
United Arab Emirates
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United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Major, if declared. If not, please indicate with N/A.
*
Internship Title and Sponsoring Organization:
*
Start Date:
*
MM slash DD slash YYYY
Internship must be a minimum of 8 weeks.
End date:
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MM slash DD slash YYYY
Number of weeks of internship:
*
Hours per week of internship:
*
Salary provided by sponsoring organization (attach letter from sponsor).
*
Location of the Internship:
*
Required Attachments. For more detailed instructions, see Environmental Internship website.
In a SINGLE PDF form: Personal Statement of approximately 200-250 words; Short summary of activities (not more than 4 typed lines); Resume-like summary of academic work and interests; Detailed and totaled budget; Letter of support from sponsoring organization.
Please uploaded required materials into a SINGLE PDF
*
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 9 MB.
Name of a Bates faculty member who can serve as a reference for you if necessary:
*
Please check off that you have included all of the following required materials in PDF form for a complete application:
*
Personal Statement
Short summary of activities
Resume-like summary of academic work/interests
Letter of support from sponsoring organization*
Faculty or Staff letter of support
*Letter of support from organization may be emailed directly to Alison Keegan (akeegan@bates.edu) but should be received by deadline date.
Applicant agreement:
By signing this form, I agree to grant the Committee permission to secure and review my transcript and other pertinent academic records, and I authorize the Committee to make my proposal available to future students interested in seeing exemplary proposals.
Student Signature:
*
First
Last
Date submitting:
*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.
Information collected through this form is covered by our website
Privacy Policy
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