Commonwealth STEM Industry Internship Program Application System

Please Note: This is a sample application for viewing purposes only. To apply to this program please visit the application "New User Registration" page and register with the system.

CSIIP is a year-round program with no application deadline.

Application Information Form

A non-degree seeking technology track is included in the Commonwealth STEM Industry Internship Program. (e.g., Advanced Manufacturing trades, Mechatronics, Cybersecurity and Aviation Maintenance).

To Participate in CSIIP, a student must:

Be a U.S. Citizen or Permanent Resident.
Be majoring in a STEM (science, technology, engineering or mathematics) field. Note: Technology may include technical trades. Mathematics may include accounting and finance.
Be at least 18 years of age and attending a Virginia university, college, community college, trade or career school, manufacturing/industry or cybersecurity certification program, or a Virginia resident attending an accredited out-of-state college.
Have a GPA of at least 2.7 on a 4.0 scale
For Degree Seeking Students: Have completed at least 30 or more post-secondary education credits and are at least a rising sophomore prior to the internship. Seniors graduating at the end of the spring semester are also eligible to participate.
For Non-Degree Seeking Students: Must be enrolled in or recently completed an accredited STEM trade or career school, or certification program, specifically in mechatronics, cybersecurity or aviation maintenance.

Each company will make its selections from the applicant pool based on its own criteria and will contact students directly for any interviews and to make offers. If selected, students will work for the time period specified by the employing company (typically 10 - 12 weeks), and will be hired directly by the employer.

Note: Exiting military and veterans are encouraged to apply. Exceptions to the eligibility requirements may be made on a case-by-case basis.

Personal Information

First Name:

Middle Name:

Last Name:

email:

sample-applicant@example.com

Alternate email:

Citizenship:

I am a citizen of the United States or
I am a Permanent Resident of the United States.

Dual Citizenship:

I am a Dual Citizen. Yes No

Current Address:

,		- ZIP Code +4 Lookup
City	State	ZIP Code

Cell Phone:

( ) -

Alternate Phone:

( ) -

Permanent Address:

, - ZIP Code +4 Lookup

Alternate Address:

(Alternate addresses expand options for internships.)

, - ZIP Code +4 Lookup

Alternate Address:

, - ZIP Code +4 Lookup

Federal Congressional District:

To find your Congressional District visit the House of Representatives Website.

State Congressional District:

Virginia State Delegate:
Virginia State Senator:
To find your district number information: General Assembly Website
Please enter your permanent home address in this online form to find your Virginia legislators. If your permanent residence is outside of Virginia, please enter your school address in the form.

Educational Information

I am pursuing a:

Current University/College:

If your institution is not listed above please enter here.

Academic Standing:

at time of application

Explain:

Status:

at time of application

Degree Sought:

Explain:

Expected Date of Graduation:

Discipline of Study:

Select the broad discipline area for your field of study first. The "Majors" box will then be populated accordingly. Then select your major. If you can't find your major, please notify the VSGC at csiip@spacegrant.org

Major:

Please choose the major that most closely matches your major. If you feel that none of these closely match your major please email VSGC.

Double Major/Minor:

GPA:

on a 4 point scale (including most recent term)
Non-Degree Technical Certification Program with no GPA

Resume:

Note: Resumes should include the student's contact information, as well as information addressing internship objectives, education, employment history, relevant skills and abilities, STEM programs and experiential activities in which they have participated, volunteer activities, honors received (scholarships and other awards), and references. There are many resume writing resources on the Internet. A list of resources is available under the "Students" tab of the CSIIP website.

File Upload

(PDF format)
If you do not have a PDF conversion tool you can use one of these free on-line PDF converters: PDF Online - PDF Converter. To ensure that your files may be properly included in your application, please ensure that they are not protected via encryption, a password, a signed certificate or in any other manner.

Educational History:

List the colleges and universities that you have attended beginning with the institution you are currently attending. Other than your current institution, only list colleges and universities where you have completed 10 or more credit hours. Please upload a PDF version of your most recent transcript. Submitted transcripts may be unofficial. If you are selected to receive the award, official transcripts will be required for verification. If you do not have a PDF conversion tool you can use one of these free on-line PDF converters: PDF Online - PDF Converter.

To ensure that your PDF files may be properly included in your application, please ensure that they are not protected via encryption, a password, a signed certificate, or in any other manner.

College/University	Transcript
	File Upload (PDF Format)
	File Upload (PDF Format)
	File Upload (PDF Format)
	File Upload (PDF Format)

References

One reference letter should be a faculty member and the other can be a faculty member or previous employer.

	Reference #1
Name:
Title:
Institution:
Department:
Address:
City:
State and Zipcode:
Phone:
email:
email confirm:

Reference #2

Once you have submitted your application, both of these individuals will automatically received an email requesting their supporting material. Your application will not be complete until this information has been received. Please inform both of these individuals that they will receive an email request from notices@spacegrant.net for this information on your behalf. While the reference will receive an email reminder, it is the applicant's responsibility to ensure that required references are submitted.

Preferred Employers (optional)

If you have an employer preference, you may enter that information here. You may select up to 5 companies when you initially submit your application and then you may select up to 3 additional companies each month during the application cycle. Whether this data is entered or not, all registered companies can still view your application.

Students are encouraged to revisit this site periodically to see the growing list of internships offered. Many companies have signed up for CSIIP and the process is ongoing with companies being added daily.

Terms Available:

Please select each term in which you would be willing to consider an internship position.
Spring
Summer
Fall

Would you be willing to relocate to obtain an internship experience? Yes No

CSIIP Special Projects Interest:

Please check if you are interested in the INNOVATE Cyber Program. Learn more about the Innovate Cyber program here
Please check if you are interested in a cyber-related internship with Commonwealth Cyber Initiative Internships.
Please check if you are interested in an aviation/aerospace related internship.

Supplemental Information

Can you speak, read, or write a language other than English? If yes, please list below and indicate proficiency. Yes No
Language: Proficiency:
Language: Proficiency:

Have your previously applied to the Commonwealth STEM Industry Internship Program? Yes No

How did you hear about Commonwealth STEM Industry Internship Program?

Computer Skills:

Please list your specific computer hardware & software skills: i.e.-MATLAB plus your level of proficiency
(200 words or less)

Additional Skills:

Please list any additional certifications or licenses obtained including but not limited to advanced manufacturing areas.
(200 words or less)

Essay:

Please provide an essay that includes a self-introduction, statement of academic and career goals, STEM related programs and experiences, previous work history and other pertinent data.
(500 words or less)

Please list your relevant work, research, internship (including Virginia Space Grant Consortium and NASA programs), and co-op experience.

Company/University	Short Description	Location	Inclusive Dates

Demographic Information

This data is for VSGC program impact reporting purposes only and will not be shared with potential employers.

Submission of this information is voluntary. It will not be used for selection purposes.

Gender:

Male Female Prefer not to disclose

Birthdate:

Ethnicity:

Race:

Are you the first family member to attend college? Yes No

Are you a veteran of the United States armed forces? Yes No

Certification

	I certify that all information contained in this application and the attached documents is accurate to the best of my knowledge.
	If selected for an internship, I agree to fully participate in the CSIIP evaluation process by completing surveys and providing information that can improve the program. I will receive annual surveys for longitudinal track to my next academic or career step.
	If selected for an internship, I understand that I will be employed by the hiring company and the wages or stipend for my internship be paid directly by the company. I agree to act in an ethical and professional manner, and agree to abide by any company polices or procedures associated with any company that hires me for an internship.
	I also agree to hold the VSGC harmless for any outcome associated with use of this website or in participating in any internship associated with this program.

Please Note: This is a sample application for viewing purposes only. To apply to this program please visit the application "New User Registration" page and register with the system.