Into the Fields Internship Program Application 2012

Instructions

This is an online application form. Before submitting this form, you may download a printable version of this application to review the questions and prepare for submitting to the online form. You will not be able to save and return to the online form, so taking the time to prepare in advance is important. You can download the SAMPLE SOS Application form from SAF’s website: http://www.saf-unite.org/content/sos-applicant-information

Student Action with Farmworkers will use this application form to determine your eligibility, skills and interests for the program. In order to fully complete your application to the Student Organizing School program, you must complete the following 3 application components:

(1) Complete this online application form, upload your essay, and upload your resume. Please email nadeen.bir@duke.edu once you have submitted the form so we can confirm that we have received it.

(2) Pay the $10 application fee, either with your credit card or debit card at www.saf-unite.org at the Donate to SAF link or by mailing a check payable to SAF, 1317 W. Pettigrew St., Durham, NC 27705. Please note on your check or credit card payment that it is an application fee for the Student Organizing School.

(3) The final selection will include an interview.

All application components must be completed electronically and submitted by Monday, April 23, 2012. If you have questions, please contact Nadeen Bir at 919-660-3652 or Nadeen.bir@duke.edu.

Applicant Information

* First Name (as written on an issued ID)

* Last Name

Preferred Name/Nickname

* Primary Address (where do you want to receive mailings?)

* City

* State

* Zip Code

Secondary Address (include street, city, state, zip)

* Cell Phone Number

Home Phone Number

* School Email Address

Other Email Address

Ethnicity/Race/Place of Origin
You may choose more than one.

Gender

Woman	Man
Trans, woman spectrum	Trans, man spectrum

* Age

* Date of Birth (mm/dd/yy)

* Member of a Farmworker Family? *Did someone in your family work in the fields as a migrant or seasonal worker/or work in food processing?

If yes, describe the agriculture or food industry your family worked in and for how long.

* Do you have access to a car and a valid drivers license and auto insurance?

* Can you coordinate your own transportation to and from trainings?

Education & Experience

* College/University

* Year in School

* Month & Year of Expected Graduation

* Major/Minor

* Career Goal

Campaign Preferences

* Selected participants will engage others on their campus or in their communities to support an advocacy or corporate campaign that works towards improving conditions for farmworkers. Please rank your top project preference as an organizer. Refer to the SOS brochure to decide which campaign fits your interests.

	Access to Education for All
	Harvest of Dignity
	RJ Reynolds Campaign
	I'm happy to support any campaign.

Personal Assets & Skills

* Check if you have experience in the following:

Resume

Please attach a one-page personal resume listing your academic, work, and volunteer experience. Be sure to include relevant experience in the areas of social justice, activism, community service, and campus or community organizing. Include names, phone numbers and emails of two references. Include your name, current address, phone & email in the resume. Save the file name using this format: First Initial dot Last Name Resume (example: N.Bir Resume.doc)

Essay

Using 1-2 pages (250-500 words), explain your personal interest in, and qualifications for working in the farmworker justice movement as a student organizer. Please attach your essay as a word document along with your application form. Save the file name using this format: First Initial dot Last Name Essay (example: N.Bir Essay.doc) Be sure to answer the following questions:

Why are you interested in participating as an organizer in the farmworker movement?
What related experience do you have that qualifies and motivates you to organize other students on your campus?
Please describe a time when you had to take initative on a project and independently. Please describe a time when you worked with a partner successfully. What did you enjoy about those experiences and what was challenging?

Please share any additional comments about your application here:

0/255 characters

You're Finished! Thank you for applying to Student Action with Farmworkers' Student Organizing School. Please email nadeen.bir@duke.edu once you have submitted the form so we can confirm we have received it. This is our first year using the online form, and there may be unforeseen glitches. We want to make sure we receive your application! Please contact us if you have any questions. Please contact Nadeen Bir via email or 919-660-3652 with questions.

* Indicates Response Required

African American, Black	Asian Pacific Islander
Central American	Chicano/a
European	Latino/a, Hispanic
Mexican	Middle Eastern
Native American, Indian, First Nation	South American
South Asian	White
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