Printable Application - RISEUP: Research Internships for a

RISEUP Application 2015
Research Internships for a Sustainable Environment with Undergraduate Participation
DEADLINE:
February 1, 2015
SUBMISSION OPTIONS:
(1) Email: [email protected]
or
(2) Mail: RISEUP Program; Physiology Department; 5374 Scott Hall; Wayne State
University School of Medicine; 540 E. Canfield; Detroit, MI 48201-1928
SECTION I: PERSONAL INFORMATION
NAME: (last) ____________________________
(first) __________________________________
CURRENT ADDRESS:
________________________________________
________________________________________
________________________________________
PERMANENT ADDRESS:
_______________________________________
_______________________________________
_______________________________________
PHONE: (mobile) _________________________
(home) _________________________________
E-MAIL: ___________________________________
PROFESSIONAL REFERENCES (list 3): (2 must be natural or social science teachers or research advisers)
Name
Address (or Institution and Department)
Phone and email
COLLEGES ATTENDED: (use this form only; do not send transcripts)
Dates
College
Major
STATUS (at end of this school year): (circle one):
freshman
Expected month and year of graduation _______________
SCIENCE/SUSTAINABILITY COURSES:
Date
No.
Title
Grade
Date
sophomore
No.
GPA
junior
senior
other_____
Title
Grade
LABORATORY/RESEARCH EXPERIENCE:
Dates
Employer (Name & Address)
Tel. No.
RELEVANT HONORS:
________________________________________________________________________
RISEUP Application 2015 page 1 of 2
SECTION II: INTERESTS
RANK SUBJECTS (most Interested = 1, least Interested = 13):
___
1. Heavy metals in urban
gardens
___
6. Green Infrastructure
___
10. Sustainable Environments for
Animals (a Detroit Zoo project)
___
2. Environmental
education & Community
Outreach
___
7. Sustainable small harbor
management strategies
Improving Water
___
11. Ecological History of "Natural"
Places
___
3. Social Sustainability of
Urban Landscapes
___
8. Water Conservation for
Sustainable Management of the
Great Lakes Basin
___
12. Toxic Algal Blooms
___
4. Environmental Issues
and Action Plans in Belle
Isle State Park
___
9. Communication for
Environmental Management &
Development
___
13. Public Policy for Improving
Great Lakes Watersheds
___
5. Urban Neighborhood
Environments
For project descriptions, visit: www.riseup.med.wayne.edu/projectdescriptions2015.php
SECTION III: PERSONAL STATEMENT
Please attach a one page (maximum) personal statement explaining why you would like to do an internship
with the RISEUP program. If particular projects are of special interest, please let us know which one and
include any other information that helps us to understand who you are, where you are coming from, your career
goals, and your projected expectations from this experience.
SECTION IV: QUALIFICATIONS
In addition to a passion for a sustainable environment, we require the following qualifications:
Must be graduating no earlier than August, 2015; must be a US citizen of permanent resident.
Students from all colleges and universities are encouraged to apply; however, at least half the interns will be
selected from applicants from small colleges or other institutions at which undergraduate research
opportunities are relatively limited.
SECTION V: SUBMIT APPLICATION
Application deadline for summer programs is FEBRUARY 1, 2015.
Completed applications may be SUBMITTED one of two ways:
(1) via email: [email protected]
or
(2) via regular mail:
RISEUP Program, Physiology Department 5374 Scott Hall; Wayne State University School of Medicine; 540 E.
Canfield; Detroit, MI 48201-1928
Thank you for pursuing your passion for a sustainable environment, we look forward to reviewing your
application.
RISEUP Application 2015 page 2 of 2

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