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 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:*
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

Accepted file types: pdf, Max. file size: 20 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
Name
This field is for validation purposes and should be left unchanged.

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Bates Environmental Internship Application Form

Required Attachments. For more detailed instructions, see Environmental Internship website.

Applicant agreement:

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