University of Delaware

DELAWARE WATER RESOURCES CENTER UNDERGRADUATE INTERN PROGRAM

2003-2004 APPLICATION

Extended Deadline: March 28, 2003

Please submit completed form to:

Dr. Tom Sims, Delaware Water Resources Center, 152 Townsend Hall, Newark DE 19717-1303

I am applying to work with a faculty or staff member in (please check one):

College of Agriculture & Natural Resources _____ Delaware Geological Survey _____

College of Engineering ____ Department of Plant & Soil Sciences _____

College of Marine Studies _____ UD Water Resources Agency _____

Other (please indicate college/agency) ________________________________________________

PLEASE PRINT

To be completed by undergraduate applicant:

STUDENT NAME Mr/Ms ______________________________ DATE _______________________

SS#________________________GPA__________EXPECTED GRADUATION DATE____________

CAMPUS/LOCAL ADDRESS____________________________ TEL. (_____)_________________

City______________________State_________Zip____________ EMAIL_______________________

PERMANENT ADDRESS _____________________________________________________________

City______________________State_________Zip____________ TEL. (_____)_________________

MAJOR ________________________ACADEMIC ADVISOR _______________________

PLEASE ATTACH:

1) Current official transcript

2) Applicant's resume; be sure to mention any special skills or experiences such as prior internships, research projects or lab assistance experience

3) Brief description of the internship research or education project proposed by applicant and advisor

I understand that if selected for a DWRC water internship I will be expected to work approximately ten weeks during summer 2003 and possibly additional hours during fall 2003 - winter 2004; to submit a progress survey in August 2003 and final report and feedback survey by March 31, 2004; to present findings in a poster session in April 2004; and to receive a stipend of up to $3000 paid as wages for hours worked.

STUDENT SIGNATURE __________________________________________________

To be completed by internship faculty advisor:

INTERNSHIP FACULTY ADVISOR NAME _________________________ DATE____________

CAMPUS/LOCAL ADDRESS____________________________ TEL. (_____)_________________

City______________________State_________Zip____________ EMAIL_______________________

I understand that if the student is selected as a DWRC 2003-2004 intern, I will need to arrange an appropriate funding match through my department (e.g. as a percentage of my time committed to working with the intern) based on the funds contributed to the project by the DWRC.

INTERNSHIP FACULTY ADVISOR SIGNATURE ____________________________

AWARDS ANNOUNCED: April, 2003