Lefteroff Internship Application
Personal Information
Full Name
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First Name
Last Name
Personal E-mail
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Cell Phone Number
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Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College Information
List your college information, beginning with the most recent
Current School name
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Location
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City, State
Current year in school
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Freshman/Sophomore/Junior/Senior/Masters/Ph.D.
Graduated
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Yes
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Majors/Minors
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Majors/Minors/Certifications
Previous School name
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Location
City, State
Majors/Minors
Majors/Minors/Certifications
Tell Us About Yourself
How did you hear about this internship?
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The late Tracy Lefteroff was a strong believer in the power of mentoring and collaboration. Share one or more examples of projects where you have collaborated with others and/or how mentoring has helped you during past experiences.
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0/500
Please describe your most pertinent skill sets and how you might apply them to contribute to your internship. Examples may include Engineering skills: e.g., ability to code in certain languages, use certain CAD software, experience with 3D printing, laboratory skills, other hands-on skills, artificial intelligence/machine learning, etc. Business skills: e.g., marketing, market research, economics, financial modelling, strategic planning, healthcare policy, fundraising, etc.
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0/500
Based on the skill sets you provided above, please list 3 areas that you would like to explore further during the internship.
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0/500
I understand that my application, resume, two letters of recommendation, "a photo of myself (headshot)" and a one-minute video, as outlined on the Fogarty Innovation website, are due by the application deadline stated on the website.
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Yes, I understand
Please submit your resume and two letters of recommendation below, if they are ready. After you submit your application by hitting “Apply Now!”, please email remaining items to
[email protected]
. This includes your video, photo, and letters of recommendation. Letters can be sent by you or by the recommender; however, they are still due by the application deadline stated on the website.
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