2025 Summer Intern Program Application

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Dear Student,

Thank you for your interest in the Science and Health Education Partnership's Summer Intern Program. Please complete the application to the best of your ability. We read each application very closely and look forward to getting to know you through your responses.

Applications are DUE Sunday, March 2nd, 2025.
Personal Information




The name you want people to call you in our program






If you do not have a cellphone, just type in 000-000-0000









How did you find out about SEP's high school programs? Check all that apply.



Hidden Fields


Page 2

Some of the following questions are about your family members and/or your household. Please provide as much information as possible. Ask someone if you don’t know the answers.
Family Education










Household Info






What languages do you speak?
English Proficiency
What is your English language proficiency?
Fluent Proficient Beginner

Do you speak any of the following languages fluently?
Fluent


What is your ethnicity?


What is your race?
This means your heritage is connected to the country of Laos in South-East Asia




Disability Status

What is the nature of your disability (check all that apply)

School History
List all the schools you have attended.
Elementary School




Middle School




High School




Course History
Science Courses
Check all science courses you have taken and are currently taking in high school by grade level.
9th grade science courses


10th grade science courses


11th grade science courses


Math Courses
Check all math courses you have taken and are currently taking in high school by grade level.
9th grade math courses


10th grade math courses


11th grade math courses


Extracurricular Activities


Tell us more about yourself





Program Focus
Each year, the Teen Wellness Connection focuses on a health topic that is relevant to teens. We would love to get your input on potential topic choices for this coming year. 


Page 5

Reference
Please provide the contact information of an adult that can serve as your reference if needed. This adult should be someone who can speak about your science or health interest.                                  Note: A family member or friend cannot serve as your reference. 

Please make sure that the person you list below as reference is willing to be contacted by us and speak on your behalf.

Reference #1 (required)
Please provide the name of the person writing your recommendation.



Essay

Essay