Internship Application

Internship Program

Internship Application

Please fill out the application below and attach a resume, essay and transcript as one PDF file as described below(8 MB file size limit). The essay should address the following topics:

  • What interests you in science (or specialized area) and why?
  • How does the Internship support your interest and professional goals?
  • What strengths would you bring to the Internship?
  • Let us know something about yourself that we might not learn from the rest of this application.
Name
Current Address
Current Contact Information
Permanent Address
Permanent Contact Information (if different from above)
Work Eligibility

If you are under 18, can you furnish a work permit?

Yes
No

If hired, can you prove you are eligible for employment in the USA? *

Yes
No
Availability
Dates Available
Open Calendar
Open Calendar

Days Available *

Mon
Tue
Wed
Thu
Fri

Have you ever applied for an internship or employment with the Venter Institute or The Institute for Genomic Research before? *

Yes
No

Which location are you interested in interning at? *

Maryland
California
Research Interests

Please indicate no more than 5 areas of research or administration you are interested in. *

Research Genomic Medicine
Synthetic Biology & Bioenergy
Microbial & Environmental Genomics
Infectious Disease
Plant Genomics
Informatics
Policy Center
Education
Environment, Health and Safety
Sequencing
 
Administration Human Resources
Accounting
Communications
Finance
Archives/Library
Legal
Information Technology
Education
 

Name, City & State

Completed Status as of Spring 2011

High School or G.E.D.

College or University

Graduate Study

Graduate Study


 

Major Field of Study

Specify Diploma, Degree, or Certificate Received

High School or G.E.D.

 

College or University

Graduate Study

Graduate Study

Experience
United States Armed Forces

Are you currently receiving a stipend or compensation from your sponsoring institution? *

Yes
No
Employment History

INSTRUCTIONS: Please complete this section, beginning with your current or most recent position. By giving the names of your employers, we have your permission to contact them; however, we will not contact your present employer without first advising you of our intent to do so. If you need more space, or have additional employers, please attach a separate sheet of paper.

Current or Most Recent Employer
Open Calendar
Open Calendar
Employer
Open Calendar
Open Calendar
Employer
Open Calendar
Open Calendar
Additional Data

Have you been convicted of a felony, or released from prison, within the last seven years? A "yes" answer does not automatically disqualify you from further consideration, since the nature of the offense, date, and type of job for which you are applying will be considered. *

Yes
No

Do you know of any reason which would prevent you from satisfactorily performing the essential functions of the internship for which you are applying? (If undecided, you may wait until the duties and responsibilities have been explained to you.)

Yes
No

If the job requires, are you willing to travel, including overnight travel?

Yes
No

If the job requires, are you willing to work overtime?

Yes
No
References
Name and Telephone Number Occupation Relationship Years Known

I certify that the statements made in this application are true and complete to the best of my knowledge. I understand that falsification or misrepresentation of information may result in the denial of employment or, if employed, immediate termination.

I authorize investigation of all statements contained herein. I understand that this organization will not contact my current employer without first advising me of its intent to do so. I authorize the references, educational institutions, employers, and other organizations listed above to give this organization any and all information concerning my educational background, current and/or previous employment, and any other pertinent information they may have, personal or otherwise. I release this organization, and all individuals, educational institutions, employers, and other organizations involved in the consideration of this employment application from all liability for any damage that may result from utilization of this information.

I understand and agree that no representative of this organization has authority to enter into any employment agreement unless it is in writing and signed by an officer of organization. I also understand that if I accept an offer of employment, I am required to provide acceptable documentation of my identity and eligibility for employment in the United States as required by the Immigration Reform and Control Act.

I understand that my employment is for no fixed period of time and may be terminated by me, or by this organization, at any time, for any reason, with or without notice. I further understand that this organization is an employment-at-will employer.

The statements made in this application are true and complete to the best of my knowledge.

It is the policy of this organization to consider all applicants equally without regard to race, national origin or ancestry, color, religion, creed, sex, age, marital status, presence of children, pregnancy, sexual orientation, genetic status, mental or physical handicap, status as a Vietnam Era or special disabled veteran, or status as a qualified disabled individual, and in accordance with all applicable laws, except where sex is a bona fide occupational requirement, or where disability status is a bona fide occupational disqualification or any other legally protected status.

The Employee Polygraph Protection Act generally prohibits most private employers from requiring or requesting lie detector or similar tests either for pre-employment screening or during the course of employment; and from discharging, disciplining, or discriminating against an employee or applicant for refusing to take a test or for exercising his/her rights under the Act.

MARYLAND APPLICANTS ONLY: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

CALIFORNIA APPLICANTS ONLY: I understand that a private employer in California may not demand or require any employee or applicant to submit to or take a polygraph, lie detector, or similar test or examination as a condition of employment or continued employment. Labor Code section 432.2. An employer may not ask any person to take such a test or administer such a test without first advising the subject in writing at the time the test is to be administered of the rights guaranteed by that statutory section. A violation of Labor Code 432.2 is a misdemeanor.

I understand that I will not be required to submit to or take a polygraph, lie detector, or similar test or examination as a condition of employment or continued employment.