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.





Sponsor: Commonwealth STEM Industry Internship Program

Program: Commonwealth STEM Industry Internship Program

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

Application Information Form

A non-degree seeking technology track has been added to 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.

Personal Information
First Name:
Middle Name:
Last Name:
email:john.doe@nonexistentbox.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
Status: at time of application
Degree Sought:
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.
(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 transcripts may be properly included in your application file, please ensure that they are not protected via encryption, a password, a signed certificate or in any other manner.
College/University Transcript
(PDF Format)
(PDF Format)
(PDF Format)
(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.  
ABB Inc
Accelerated Development & Support Corp
Adaptive Aerospace Group, Inc.
ADTEK Engineers, Inc.
Advanced Technology Systems Company
Aerojet Rocketdyne
Aerospace Innovations, LLC
Aery Aviation
AFrame Digital
Air, Land & Sea Heavy Equipment Services
Alleghany Highlands Economic Development Corporation
Allied Logistics
Amadas Coach
American National Bank & Trust Company
Analytical Mechanics Associates, Inc. (AMA)
Andromeda Systems Incorporated (ASI)
AOL
Apex Systems
Applied Research Associates
Applied Sciences & Information Systems, Inc.
Arkema Inc., Sartomer BU
Arqball
AS&M, Inc.
Aurora Flight Sciences
Aurora Foundation
Austin Brockenbrough & Associates, LLP
authentic. (formerly AuthX)
Automation Creations, Inc.
AVRC
BAE Systems, Inc
BASF-The Chemical Company
Bassett Furniture
Bear Path Acres
Binera, Inc
Bravo Consulting Group, LLC
Bravo Consulting Group, LLC
Bristol Compressors International Inc.
C&F Bank
Camp Motorsport
Canon Virginia, Inc.
CarVaTech USA
CaterNow, LLC
Center for Innovation & Development
Center for Innovative Technology
Center for Space Science and Engineering
CGI
Clark Nexsen, Architecture & Engineering
Cleantech Analytics LLC
CMA CGM (America) LLC
Colonial Williamsburg Foundation
Commonwealth Center for Advanced Manufacturing (CCAM)
Continental Automotive Systems, Inc.
County of Albemarle, VA IT Dept.
County of Henrico
Coveros, Inc.
Cybel, LLC
Cyber Research and Intelligent Solutions Provider (CRISP)
CyberData Technologies
Cybrex LLC
DanChem Technologies Inc.
DataRPM
Delta Airport Consultants, Inc.
Delta Airport Consultants, Inc.
Devout Inc.
DMG Federal
Dominion Enterprises
Dominion Resource Services, Inc.
Dynamic Aviation
EAI Technologieis
eBay enterprise
EFlashApps, LLC
EIT, LLC
Elizabeth River Crossings
ept, inc.
Essel Propack America, LLC
Evonik Industries
Federal Reserve information Technology
FeedBack Enterprise, LLC
FleetwoodGoldcoWyard
Flex Technology Inc
Franklin Federal Savings Bank
Frazier Educational Services, LLC DBA Bricks 4 Kidz
Free To Fly Foundation
FreightCar America
Fugro Atlantic
GATS
General Dynamics Information Technology, Inc.
General Dynamics IT
GeneSiC Semiconductor Inc.
Genex Systems (NASA LaRC GIS Team)
GeoTEd
Greenloons
Hamilton Beach Brands, Inc
Hampton Roads Sanitation DIstrict
Harmonia
Harold A. Logan Associates, P.C.
Harris RF Communications
HawkEye 360, Inc.
HD Web Studio
HDT Global
HemoShear, LLC
HemoSonics
Highground Services, Inc.
Hollister Incorporated
Hooker Furniture Corp.
Immerge Technologies
InMotion Hosting
Institute for Advanced Learning and Research
Integrative Centers for Science and Medicine
IntellecTechs
Intertape Polymer Group
Invincea
Ivy Tools
Jacobs Engineering
Kinsail Corporation
Landtech Resources, Inc.
Latticet
Legerity LLC
Leidos
Liebherr USA, Co.
Marstel-Day, LLC
McDarmont Web Design, Inc.
Merck
Micron
Micronic Technologies
Midland GSS JV
MITRE
MITRE
Moog
mPortal Inc
MYMIC LLC
National Radio Astronomy Observatory
Netuitive
Neustar
New College Institute
Newport News Shipbuilding
Nisga'a Data Systems
Noblis
Noblis Inc.
Norfolk Southern
NS8 Inc.
Old Dominion Technology Applications Center
Old Dominion University
Open Roads Consulting, Inc.
Orbital Sciences Corporation
Packet Forensics
PacsPoint
Peregrine Technical Solutions, LLC
Piedmont Airlines
Port of Virginia
Progeny Systems
Reed Integration, Inc.
RFK Solutionz, Corporation
Rocket Pop Media
Rockwell Collins
RTI International Metals, Inc.
RTI International Metals, Inc.
SAIC
SAIC
Salient Federal Solutions, Inc.
Science Systems and Applications, Inc.
Second Look LLC
Sentara Healthcare
Sentara Healthcare
Sentinel Robotic Solutions
Sera-Brynn, LLC
Shenandoah Growers, Inc.
Shenandoah Valley Productions LLC
Shentel
SimIS Inc.
Solex Architecture, Inc.
Southern States
Southern Virginia Higher Education Center
SpaceQuest, Ltd.
Steel Fab
STEM exCEL
STF
Stinger Ghaffarian Technologies Inc.
SUNRNR OF VIRGINIA, INC
Super Systems Inc (SSi)
SW Funk Industrial Contractors, Inc.
Swift
TE Connectivity
TechLab, Inc.
Tenaska
Tetra Tech
The Harvest Foundation
The Port of Virginia
The Web Development Group
The Wendell Scott Foundation
Thomas Nelson Workforce Development - Future IT/ Cyber Leadership Internship Program
Thompson & Litton
Tyson Foods, Inc
Unanet Technologies
Universal Laboratories
VA Air & Space Center
ViGYAN, Inc.
Virginia Aviation Business Association
Virginia Department of Transportation
Virginia Information Technologies Agency
Virginia Mirror Company
Virginia Museum of Natural History
Virginia Space Grant Consortium
Virginia STEAM Academy
Virginia Tech Intellectual Property, Inc.
VividCortex
Volvo Penta
VPT Incorporated
Wendell Scott Foundation
Wildlife Center of Virginia
Wisconsin Space Grant Consortium
Wise County & City of Norton Circuit Court Clerk's Office
WorldView Solutions
WR Systems
WTAS
Wyth.me LLC
Yokohama Tire Manufacturing VA
Zestron Corp
Terms Avaliable: 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
Please check if you are interested in the Virginia Cyber Alliance Internships.

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.

In order to determine the degree of applicant diversity, VSGC requests the following information. Submission of this information is voluntary. It will not be used for selection purposes.
Gender: Male Female Prefer not to disclose
Birthdate: , 19
Ethnicity:
Race:
Are you the first family member to attend college?
Are you a veteran of the United States armed forces?

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.