Goldman Fellows Program Application 2017

Stipends of $5,000 for Summer Community-based Internships in St. Louis

(PLEASE NOTE THE STIPENDS ARE SUBJECT TO INCOME TAX)

Applications are due by Friday, April 3, 5:00pm

The Goldman Fellows Program supports Washington University undergraduate students who secure unpaid summer internships at nonprofit, community, or governmental organizations in the St. Louis region. The program aims to:

·  Provide students with a distinctive, well-structured cohort experience that provides public service career experience and a more intimate knowledge of St. Louis.

·  Increase capacity for community-based organizations by providing talented interns.

·  The internship must include substantive responsibilities and be oriented toward issues of social justice or community development.

·  Preference will be given to internships that are full-time (30+ hours per week).

·  International students with a work visa: we welcome your applications. Please contact Tim Dugan and Martha Turner, , from the Office of International Students and Scholars to discuss the process to obtain work eligibility for the summer.

Please note:

Fellows must be in St. Louis from June 3 – August 5 to participate in the following program components (subject to change):

o  Tuesday, June 6: Goldman Fellows Retreat, 10:00am

o  Wednesday, June 14: Campus Dinner and Reflection, 6:00pm

o  Wednesday, June 21: Campus Dinner and Reflection, 6:00pm

o  Week of June 20-24: Social Excursion, time tbd

o  Wednesday, June 28: Neighborhood Excursion, 6:00pm

o  Week of July 3-7: Social Excursion, time tbd

o  Wednesday, July 12: Campus Dinner and Reflection, 6:00pm

o  Week of July 18-22: Social Excursion, time tbd

o  Wednesday, July 26: Neighborhood Excursion, 6:00pm

o  Wednesday, August 2: Final Campus Dinner and Reflection, 6:00pm

o  October: Neighborhood Excursion, 6:00pm

o  November: Reunion dinner with supervisors

Fellows will be expected to participate in furthering awareness about the Gephardt Institute across campus through tabling at events, sharing their reflections, and speaking to classes about their experiences as a fellow.

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Applicant Information
Name:
Year (circle one): First-Year Sophomore Junior / Student ID:
Major: / Cumulative GPA:
Email address: / Phone Number:
How did you hear about the Goldman Fellows Program? (Please circle all that apply)
Facebook Friend Past Participant Professor/4-year Advisor Info Session
Advertising (Flyers, DUCtv, etc.)- please specify______Other (please specify)______

______I have read the above stipulations and commit to all components of the Goldman Fellows Program including the retreat, cohort gatherings, and follow-up reflection events. (Please Initial)

Internship Information
Name of organization/ program: / Site address:
Site supervisor name: / Site supervisor number:
Site supervisor email: / Start and end date of internship:
Average number of hours scheduled per week: / Internship title:
Internship responsibilities:

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ATTACHMENTS

Please include all of the following items:

·  Resume

·  Short Essay –one to two pages, single spaced, answering the following:

o  What social issue does the organization seek to address and why is it important to you?

o  How will this internship experience contribute to your personal, academic, or professional goals?

·  Organizational Letter of Agreement – Page 1: Student and host organization supervisor should read and sign.

·  Organizational Letter of Agreement – Page 2: Student may fill in student section and give to host organization to complete OR host organization may provide a letter on letterhead confirming the terms of the internship. These documents may be submitted by separate cover.

Please submit five (5) copies of the completed application by 5 pm, April 3, 2017 to the Gephardt Institute for Civic and Community Engagement in person at DUC Suite 150 or through campus mail at Campus Box 1059. Late applications will not be accepted. For questions please call 314-935-3943 or email Tim Dugan, Coordinator for Student Engagement and Service, at . Decisions will be announced in mid- to late April.