Lehman College-NYBG Undergraduate Internship Program

Application for the USDA Fellowship Program

 

Name:________________________________________________________________________________________

 

Address:______________________________________________________________________________________

 

E-mail:_____________________________________              Telephone Number (___)______________________

 

Major______________________  Number of Credits Completed________         Grade Point Average___________

 

Expected Graduation Date__________           Status: Full-time/Part-time

 

U.S. Citizen/Green Card Holder (Underline one)                            

 

Number of Credits Registered for this Semester__________

 

Do you plan to go to graduate school/medical school/other? If so, please indicate which one, and what you plan to study.

 

 

List science courses you are currently enrolled (please give course numbers and titles).

 

 

 

 

List college-level science courses you have completed and grades earned (please give course numbers and titles, and where you took the course).

 

 

 

 

 

Describe any research projects on which you are interested in working.

 

 

 

 

Where did you hear about this program?

 

 

 

High school_______________________     Location____________________

 

High school diploma or GED (underline one) Year of high school degree__________

 

Employment Experience

Employer                                                               Type of work done

 

 

 

 

 

 

 

 

 

 

1.                    Project yourself 15 years into the future and describe your work setting. Describe what you would like to be doing for a living.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.                    Briefly describe your academic strengths and weaknesses.