The Provost's Sustainability Internship Program: Mentor Application

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Thank you for your interest in the internship program.

Staff Mentor Applications due March 15, 2013

Staff accepted into the program will be required to present their internship at an informational session on April 4th, from 5:30- 7:30 pm. Student applications are also due March 15, 2013 and student/staff interviews will be scheduled beginning the week of Apri 8th. We will announce final placements by the beginning of May.

The Provost's Sustainability Internship (PSI) program pairs students with staff mentors across campus departments who are leading and need assistance with a campus sustainability project. Students work 6-8 hours/week in fall quarter and increase to 12 -15 hours per week in winter and spring quarters. Staff mentors provide leadership, guidance, and resources that enable students to become effective partners in planning and implementing a campus sustainability project.

Departments contribute $250 per quarter, which the Sustainability Office matches to provide students with a $1500 scholarship at the end of the year (upon completion). Departments facing special hardship can request financial assistance by emailing the Program Manager, Shauna Casey at scasey@ucsc.edu.

Questions? Contact Nicole Fiore, Provost's Sustainability Internship- Student Coordinator: nfiore@ucsc.edu

Primary Mentor *

This person is responsible for regular supervision and support of the student intern

Please describe the role and responsibilities of the Primary Staff Mentor *

Email Address *

Primary Mentor

Department on Campus *

Primary Mentor

Secondary Mentor (if applicable)

This person provides regular support for the internship project

Please describe the role and responsibilities of the Secondary Staff Mentor

(if applicable)

Email Address

Secondary Mentor

Department on Campus

Secondary Mentor

Please provide a brief summary of your proposed internship (1-2 paragraphs) *

What identifiable product or result do you expect the intern to achieve by the end of their internship? *

Statement of Duties- What tasks will the intern perform? *

% of Time that will be spend on what Duties ( ie. 25% Outreach)

Skills, Knowledge, and Abilities *

Required and Preferred

What skills will this internship strengthen? *

What value does this internship have for you unit/department and the campus as a whole? *

How will you evaluate your intern's success? *

What staff, other than you, will the student intern interact with regularly and in what capacity? *

Are there any resources that the intern will need that your office cannot provide? *

Please explain, (i.e computer, printer)

In applying to mentor an intern, I agree to *

Check all boxes to indicate your agreement to all terms.

Provide the intern with a specific project and ongoing support to achieve desired results

Meet with interns at least weekly as students are getting familiar with their project, and at least bi-weekly thereafter.

Participate in introductory workshop at the end of summer (late Aug-early Sept))

Attend student presentations in winter quarter (Jan 2014)

Attend the End of Year Sustainability Celebration student poster session (May, 2014)

Complete quarterly evaluations of intern and review with intern, in person.

Required

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