Internship Program Application Form

North Texas APAPA Internship Program

Application Deadline - None
CIVIC LEADERSHIP DEVELOPMENT

APAPA–NTC Internship Program is designed to prepare high school, undergraduate, and graduate students to become future leaders in the State of Texas. This program provides an opportunity for students of Asian descent to develop their leadership skills, gain public policy experience, and become civically engaged participants in our community. APAPA–NTC Internship Program will develop:

·       Professional and leadership qualities

·       Networking & team building skills with fellow interns

·       Political awareness and civic engagement

·       Further understanding of Texas government

QUALITIFICATIONS & REQUIREMENTS:

·       Must be a U.S. Citizen or permanent resident and a Texas resident.

·       A current student: high school senior, undergraduate, or graduate student.

·       Strong time management, leadership, small-group facilitation, collaboration, and communication skills.

·       Must commit to work four (4) weeks minimum in your assigned placement.

·       In addition to the four (4) weeks commitment, you must commit to at least 20 volunteer hours for APAPA-NTC that includes the following: orientation*, leadership training*, meetings, public speaking, dinner socials, project assignments, and guest speakers, voter’s registration and election project, and participate fully in the internship program.

(*denotes mandatory attendance)

SELECTION CRITERIA:

Applicants will be selected based on, but not limited to, his or her demonstrated leadership knowledge and skills, participation in community service, excellent interpersonal skills, with strong written and verbal communication skills.

PROGRAM LENGTH AND STIPEND:

Recipients will attend both orientation and training prior to placement. This is a four (4) weeks internship program, which runs consecutively anytime throughout the year. Interns will receive a stipend in the amount of $750 for successful completion of the program. Students are responsible for their own housing and transportation.
I. Personal Information

Tell us about yourself
Applicant Name*

First NameLast Name
Applicant Preferred First Name*
Applicant E-mail :*

Confirmation EmailWhere the confirmation will be send to
Applicant Ethnicity*
(i.e. Thai, Vietnameses, Hmong, etc.)
Are you a U.S. citizen or permanent resident?*

YesNo
II. Contact Information
Applicant Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number*

Area CodePhone Number
III. In Case of Emergency
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship*
(Spouse, Parents, Sibling, etc.)
Emergency Contact Phone Number*

Area CodePhone Number
IV. College Information
Are you a first generation college student?

Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
University/College*
Current Year Level*
Major Area of Study:*
Please indicate what is your major area of study
Minor Area of Study:*
Please indicate what is your minor area of study
Grade Point Average (GPA)*
Relevant classes (i.e. Asian American, ethnic studies, leadership classes, etc.) ?

0/300
Relevant experience (i.e. Student leadership, civic engagement experience, etc.)?*

0/300
APAPA-NTC strives to effectively promote the internship program. Please let us know how you heard about our program. If referred by alumni, please provide name.*

College/UniversityAPAPA websitePress ReleaseRelative/FriendNewspaperCommunity OrganizationOther
As part of the qualifying process, recipients are required to commit up to 20 volunteer hours for APAPA-NTC and work four (4) weeks minimum in your assigned placement, in order to complete this internship program.
V. Other Information and Interest:

Civic/Political Engagement Interest *

	Very Interested	Somewhat Interested	Not Very Interested	No Interest
Elected Office
Government
Education
Non Profit

VI. In 150 characters or less, answer the following:
Please share your understanding of your own ethnic identity? We would like to know your understanding of your Asian heritage.*

0/150
Please share your thoughts about one significant issue/challenge that Asian Americans face.*

0/150
Please share personal qualities, skills, experience that you are most proud of.*

0/150
VII. Essay
Your essay should be 300-500 characters. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why the internship program is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely qualified of selection consideration.
Essay:

0/500
VIII. Applicant's E-Signature
Student Certification:

·       I understand that I hold APAPA, APAPA-NTC, their boards and members, and employees harmless from any and all liability or claims which may arise out of, or occur, in connection with my participation in this program.

·       I understand that this application, plus all accompanying documents, become the property of APAPA and will be shown to potential supervisors of my internship.

·       I certify that the information I submitted on this application is accurate to the best of my knowledge. I also understand that I will be liable for all costs that APAPA may incur as the result of any misrepresentation, omission, or willful inaccuracy that I include on this application.

·       During my internship, I understand that I am responsible for any and all travel, housing, living and medical expenses that may be incurred. I am responsible either personally or through my insurance coverage.

·       I also understand that APAPA and APAPA-NTC are not responsible for the theft of or damage to, my personal property.

·       If selected, I promise to complete all program requirements in the placement I am assigned to and submit a final short essay reflecting my internship experience.

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application.
E-Signature:*
Should be Empty:

North Texas APAPA Internship Program

I. Personal Information

II. Contact Information

III. In Case of Emergency

IV. College Information

V. Other Information and Interest:

VI. In 150 characters or less, answer the following:

VII. Essay

VIII. Applicant's E-Signature