Alexis Bird Schey 2014 Summer Internship Fund
This is an invitation to high school and university students with disabilities to apply for funding for a 8-week Summer 2014 internship at a non-profit organization selected by the student. The Alexis Bird Schey Summer Internship Fund will select a student to receive $3,000 towards the student’s internship salary. The application form is below.
Please copy and paste the application form into a new document. If you’re unable to use a computer, please print and complete the responses and fax it to Peter Schey (310) 526-6537. Internships must be at least 8 weeks long.
When you save your application digitally, use the following protocol for re-naming the document: Your last name, your first name, date you send the application and Alexis Schey Internship Application (e.g. Diaz, Michael 5-15-14 Alexis Schey Internship Application). Please forward your application (best in MSWord) by May 31, 2014 to:
Peter Schey email@example.com Melinda Bird firstname.lastname@example.org Roxanne Rose email@example.com Sjuli Senn Van Basel Wagemans firstname.lastname@example.org, Marissa Butler email@example.com, Karly Anderson-Pryor firstname.lastname@example.org; Julianne Bretan <email@example.com> Joy Haynes firstname.lastname@example.org
Feel free to attach other material to your application (anything of interest). Please submit applications by May 31, 2014
Alexis Bird Schey Summer Internship Fund Application
Please do not complete and send this application until you have identified a non-profit organization where you can do an internship in the summer of 2014 and have discussed with that program the specific project you will be doing. Please see questions below about the nature of your proposed project that should be discussed with the non-profit before you complete this form. The funding is for an 8-week internship. Please forward a completed application (best in MSWord) by May 31, 2014 to:
Peter Schey email@example.com
Melinda Bird firstname.lastname@example.org
Roxanne Rose email@example.com
Sjuli Senn Van Basel Wagemans firstname.lastname@example.org
Marissa Butler email@example.com, and
Karly Anderson-Pryor firstname.lastname@example.org
Julianne Bretan <email@example.com>
Joy Haynes firstname.lastname@example.org
We’ll try to select a student on or before June 10, 2014.
Address and phone are good through what date?
Permanent Address (if different from above):
School attended in Spring of 2014:
Year completed in School as of June 2014:
School you plan to attend in the Fall of 2014:
Major (if in college):
Do you ambulate in a manual wheelchair or electric wheelchair:
Yes manual /__/ Yes electric /__/
Optional Information (may be used for purposes of affirmative action):
Do you live with your parents or in a group home:
Provide any information you wish about your financial situation including your parent’s or others’ ability to provide financial support:
Name of proposed host non-profit organization:
Name of contact person for host organization:
Telephone number of host organization contact:
Email address of host organization contact:
Website of proposed host organization:
Dates available to work:
How did you hear about the Alexis Bird Schey Memorial Summer Internship Fund:
Please list the name, organization, position, how you know the person, email and phone number of two references:
PART II. Short Essay
1. Please briefly describe the non-profit organization for which you seek funding and include links so further information may be reviewed on the internet. (This can be limited to a few sentences assuming more information is available at the organization’s web site)
2. What kind of work or volunteer experiences have you had which may be relevant to this project?
3. Describe with as much particularity and as best you can:(a) The goals of your proposed internship (about ½ to 1 page)
(b) How and why you decided on your goals (about ½ page)
(c) Most importantly, what you propose doing to achieve those goals (1-2 pages)
(d) How you will measure what was actually achieved (1/2 to 1 page)
4. Briefly explain how this type of work may relate to your long-term career goals? (About ½ to 1 page)
5. Add any further information you think may be useful to help us select a disabled student for the summer 2014 internship funding.