Integrated Land Management - 2017 Application Form

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We are currently accepting applications.

Name *

Preferred Email *

Primary Cornell department and degree in progress *

e.g., AEM (MS) or DSOC (PhD) or CIPA (MPS)

I am a Cornell Masters student or early (1st-3rd year) Ph.D. student. *

Yes

Other:

I am applying for the *

May 11-17 research methods workshop [for both graduating and continuing students of any nationality]

internship program [for continuing students who are U.S. citizens/nationals/permanent residents: includes the May workshop, summer internship, and Fall 2017 1-credit seminar] [positions now filled]

I identify my gender as *

(please check one or more boxes)

female

male

gender diverse (gender non-conforming and/or transgender)

Required

U.S. citizenship status *

U.S. citizen/national/permanent resident

international student

I am considered an underrepresented minority in the agricultural sciences by the U.S. Department of Agriculture (Asian American, African American, Alaskan Native, American Indian, Hispanic American, Native Hawaiian, Pacific Islander, etc.) *

yes

no (includes international students)

I prefer not to answer

My dietary preferences: *

(select one or more boxes below, and feel free to list any food allergies--we'll do our best to accommodate)

Vegetarian

Omnivore

Vegan

Gluten free

Other:

Required

Internship applicants only:

Please rank internship choice(s) (1=top choice)

not applying

Soils, Food and Healthy Communities (Malawi)

Keystone Foundation (Southern India)

Bahir Dar University (Ethiopia)

The Nature Conservancy (Ithaca)

Oxfam South Africa (Johannesburg)

Oxfam in Tajikistan (work remotely)

CARE Peru (Ithaca and/or Peru)

Clear selection

Internship applicants only: I agree that if I am offered and accept an internship, the following terms will apply. a) Status: I am a U.S. citizen/national/permanent resident and will be a continuing Cornell graduate student. I am eligible to—and plan to—enroll at Cornell in the term following the internship (Fall 2017). b) Confidentiality: As a research intern, I will respect the confidentiality of any information that I collect from and about my host organization’s programs and participants. c) Insurance Coverage: I agree to carry adequate regular medical insurance during the internship. Neither Cornell nor my host organization will pay for medical insurance costs or medical expenses. Cornell will provide emergency medical evacuation and repatriation insurance for interns who are continuing Cornell students doing university research abroad. d) Passports and Visas: I am responsible for obtaining a passport and a visa if required. e) Additional Agreements: I agree to complete and sign additional paperwork from Cornell and host organization partners as requested. (For international internships: a Standards of Conduct for Cornell Students Abroad form, a Cornell medical self-disclosure form, and a Cornell hold-harmless form.)

I agree

Internship applicants only: If I am not offered an internship, please consider my application for the May workshop.

yes

Clear selection

Note: Your application will be complete after (1) submitting this form, and (2) emailing the additional information requested on the final page of the call for applications: http://www.care-cornell.com/collaboration-opportunities.html

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