• INTERN REQUEST FORM

  • This form should be completed by the Mentor and submitted at least 2 weeks prior to the intern's arrival date.

  • Today's Date:*
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  • Anticipated Start Date:*
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  • Anticipated End Date:*
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  • For summer interns: Will this intern participate in REU programming? (This option is typically available even if the intern is not funded by the NSF REU grant.)*
  • Will the intern be paid?*

  • If paid:

  • Other Considerations

  • Will the intern need institutional housing?*
  • Will the intern be diving?*
  • Will he/she be participating in any research cruises or field work (besides the day cruise associated with the REU program)?*
  • Will he/she be using any radioisotopes?*
  • If yes, isotope usage will be perfomed at:

  • Will he/she be participating in a project that includes the use of genetic manipulation?*
  • Will he/she be participating in a project that involves biosafety level (BSL) 2 or 2+ organisms?*
  • Is the BSL or genetically modified organism going to be worked with at Bigelow or elsewhere*
  • If organisms are being modified, will they be shipped elsewhere?*
  • Will he/she be participating in a project that generates toxic or hazardous compounds and/or products?*
  • Will he/she be participating in a project that requires approval of the Institutional Animal Care and Use Committee (IACUC)?*

  • Please explain the purpose of the internship. This information is used to determine whether the intern is entitled to minimum wages and overtime pay under the FLSA.

  • Once this form is approved, the Education Coordinator will enter the information into the Master Intern List. Once an individual is awarded the internship, the Education Coordinator will create an internship agreement letter to send to the intern. The Education Coordinator will then send pre-arrival informations to the intern, including payroll forms (if needed), student handbook, and other student forms.

  • Should be Empty: