Organization

Stanford In Government New Stipend Program Application Form

Please copy questions and answers into a PDF and submit to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Personal Information

First Name: _________________________________________

Last Name: _________________________________________

Email address: _________________________________________

Phone number: _________________________________________

Class: _________________________________________

Major(s) (or expected major): _________________________________________

Minor(s) (or expected minor):

_________________________________________

Previous experience in public policy work:

____________________________________________________________

Previous fellowship experience with Haas Center or Stanford in Government

(also include other University sponsored fellowships and internships):

_____________________________________________________________

Are you applying for other funding in the event that you were not to receive funding from the

Stipends Program for this internship? If so, please elaborate.

______________________________________________________________

Current Financial Aid recipient? YES/ NO

 

Basic Internship Requirements Check List (please answer yes or no):

(The internship must be 1. unpaid, 2. full time, 3. 9 weeks long, 4. in a country outside of the U.S. State

Department warning list, 5. in what we define as a public policy organization, and 6. must NOT be a

social service or a engage in partisan activity)

  1. Internship is unpaid: YES/ NO
  2. Internship is at least 9 week long: YES/ NO
  3. Internship is full time: YES/ NO
  4. US State Department has issued a travel warning for the country in which the internship is located: YES/ NO
  5. Internship is in at least one of the following bodies. Please select one.
    • a governmental organization
    • a think tank
    • a non-profit organization
    • a media organization that relates to public policy or politics
  6. Internship work is directly related to at least one of the following. Please select one.
    • government functions
    • current US and international politics
    • research related to politics, public policy and government
    • implementation and development of policy options
  7. Internship is in political campaigns or partisan organizations: YES/ NO
  8. Internship is a direct social service (such as tutoring, medical services, recreational services, community improvement services): YES/ NO

 

Short Answer Questions (150 words maximum each):

 

  1. Describe your internship placement (organization) and your position.
  2. Describe your specific plans for the internship (What do you hope to learn and accomplish? What your daily tasks will be?).
  3. Describe your reasons for choosing this organization and your passion and interest in this field of work, as well as any previous experience/ coursework, if applicable.
  4. Elaborate on your need to receive the stipend. Why would you not be able to take the internship without the stipend? What will your summer plans be if you do not receive a stipend?
  5. Describe how this internship will enable you to pursue your future academic and/or career goals.

 

Internship Site Questionnaire

The supervisor from the host organization must provide a written response to each of the following questions. When asking for written responses, be sure to indicate that all answers should be approximately one paragraph in length (4 to 5 sentences per paragraph). Include the supervisor’s answers, as well as his/her email and address, name, and title in your completed application. If the supervisor prefers to send his/her answers directly to SIG, he may submit them to This e-mail address is being protected from spambots. You need JavaScript enabled to view it under the subject line [Your Name] Internship Site Questionnaire.

Questions:

  1. Please provide general information about your organization, including its mission, when the organization was founded, and current number of staff.
  2. Please outline the job/project description. What tasks and responsibilities do you foresee offering this student during his/her internship? How long will the internship be?
  3. Please indicate the requisite skills necessary for serving in this internship.

  

Application Checklist

All items to be submitted to This e-mail address is being protected from spambots. You need JavaScript enabled to view it by 11:59pm Feburary 2nd 2012 for the first deadline or April 1st, 2012 for the second deadline. Both deadlines offer equal chances of being selected for a Stipend.

  1. Stanford In Government Stipend Program Application Form
  2. Detailed budget plan: costs for round trip travel to/from site (e.g. airfare), estimated costs for room and board, estimated costs for health/safety (e.g. vaccinations, insurance), estimated costs for daily commute travel (e.g. to/from work site)
  3. Health insurance documentation
  4. Internship Site Questionnaire
  5. For undeclared students only, list of all courses taken so far and courses planned for next academic year, quarter by quarter

I certify that I have answered all questions truthfully, have submitted accurate documentation, and will not be receiving other funding toward participation in the same internship

Name:

Date: