2022 Folk Culture Summer Internship Application

Summer 2022 Summer Internship Application

Dr. Beverly J. Robinson Community Folk Culture Program
Free folk culture research training program for students ages 14-21. Applications for this program open in late spring. Program takes place 3 days/week during summer vacation. Students receive a stipend.
Today's Date:*

MonthDayYear
Date
How did you learn of the Folk Culture Program?
PERSONAL INFORMATION
Name

First NameLast Name
Email address:
example@example.com
Student Mobile Number

Area CodePhone Number
Date of Birth

MonthDayYear
Address/Apartment #

Address

Street Address Line 2

CityState

Zip
GUARDIAN INFORMATION
Parent / Guardian Name:
Relationship to You:
Parent/Guardian Home Phone:
Parent/Guardian Work Phone:
Parent/Guardian Mobile Phone:
Email Address:
example@example.com
Emergency Contact #1 Name:
Phone
EDUCATIONAL INFORMATION
School/College (Current)
Favorite Subjects
Special Interests / Hobbies / Talents / Abilities (including but not limited to: videography/photography, drawing/visual arts, public speaking, social media/technology, media, and writing.):
Future Career Goals:
Why would you like to be part of the program and what do you wish to gain from this experience?
How do you think your participation may help or benefit the program?
MEDICAL INFORMATION
YesNo
If yes, please explain:
YesNo
If yes, please explain:
Medication(s) currently taking:
YesNo
Print Name
Relationship
Signature

Clear
PARENT/GUARDIAN CONSENT

This page must be completed by a parent/guardian, if you’re under 18 years of age. If you’re 18+ years of age, you may complete it yourself.

I understand that (applicant’s name) _________________________________________________ would like to be chosen as an intern for the Dr. Beverly Robinson Community Folk Culture Program. If s/he is selected, I agree to give the minor mentioned above permission to:

(1) Participate fully in activities, interviews and presentations – both onsite and offsite.

(2) Interview me and other family members in order to gather information about family cultural backgrounds and childhood memories as part of field research assignments.

(3) Partake in program fieldtrips throughout the Bronx and possibly other boroughs of New York City; ride on buses, subways and in hired vehicles.

(4) Be photographed, audio-recorded and video-recorded during the documentation of the Program and its related activities; images and/or sound may be published in print and/or online.
I hereby authorize Mind-Builders’ program staff to obtain necessary emergency medical treatment for my child with the understanding that the child’s family will be notified as soon as possible.
Date

MonthDayYear
Date
THE VIRTUAL WRITTEN/VISUAL ASSIGNMENT
New Applicants and Returning Interns must choose one of the following assignments to complete and submit using one of the platforms listed below as part of application submission:

Please submit assignment choice (TikTok, Portrait, or Slide Show etc.,) via email to folkculture@mind-builders.org. Include the subject line "2022 Folk Culture Summer Application Assignment", your name and email address with any materials submitted. Any questions please call (718) 652-6256. Interviews may be scheduled in the order in which complete applications (including assignment) are received.
Identify a person in your community who works with their hands or that you know has a skill passed down to them through their family or community. (e.g. jewelry maker/dressmaker/chef/baker/dancer/singer/instrumentalist/poet, etc) WRITE THEIR NAME, what they do and where you have seen them.A Migration Story: about coming to US or to New York for first time that a family member or you or someone else you know experienced.A Picture or Portrait: submit an old photo of a person or persons close to you or close to someone you know and write about who they are, relation to you, approximate date and location. What, in terms of dress worn, style background or expression, may give meaning to who this person is, the time or circumstances? (PHOTOS should be submitted in the body of an email to wgakere@mind-builders.org)
An Essay typed or printed by hand clearly or texted with nameTIKTok VideoCartoon or DrawingAudio RecordingSlide Show or Special Photo Attached
Please upload your assignment here.

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Summer 2022 Summer Internship Application