CNSI Propel Internship Program
Student Fellowship Application

For interest in the CNSI Propel Startup, Engagement, or Futures Fellowships

Contact Information and Experience

First Name

No spaces please. If you have a 2-part first name, please use a dash or underscore (e.g. "John-Henry").

Last Name

No spaces please. If you have a 2-part last name, please use a dash or underscore (e.g. "Riviera-Santos").

I am a CC-PRIME Affiliate

Academic Status

When would you be able to start you internship?

mm/dd/yyyy

By when would you have to complete your internship?

mm/dd/yyyy

Resume / CV Upload

Drop your files here

Statement of Interest

What is your motivation for seeking an industry internship?

Please provide a brief statement of 200 words or less.

Participant Demographics

CNSI is collecting this information from program participants and applicants to assess whether our activities are fairly reaching and benefiting everyone, regardless of demographic category; to ensure that those in underrepresented groups have the same knowledge of and access to CNSI programs; and to assess their involvement.

Status in US

Gender Identity

Are you of Hispanic/Latino origin?

Race

Which of the following best describes your race? Select all that apply. Please note your race is different from whether or not you identify as Hispanic/Latino. For example, if you are of Hispanic/Latino origin, you may be a mix of American Indian/Alaska Native as well as Caucasian races. If you are not of Hispanic/Latino origin, you may still be a mix of American Indian/Alaska Native as well as Caucasian races. You may select "Unknown" if your race is unknown to you.

First generation Bachelor's degree?

Are you the first generation in your family to earn a bachelor's degree?

Which of these apply(ied) to you as an undergraduate student?

Veteran

Are you a veteran of the US Armed Forces?

Disability

Do you have any disabilities, defined as a physical or mental impairment that substantially limits one or more major life activities?

Policy Acceptances

If you have any questions about these policies, please reach out to us.

I agree to use any funds provided by UCSB through this program only for supporting and enabling the approved internship.

I will not use any funds provided by UCSB through this program for any on-campus research or other activities.

I understand and agree that any intellectual property that I create or develop during the internship will be owned by the company.

Upon request, I agree to share my internship experience by providing a written summary, participating in an on-campus panel, or providing other inputs as required by CNSI to facilitate reporting to the State of California.

Send me a copy of my responses

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CNSI Propel Internship ProgramStudent Fellowship Application

Contact Information and Experience

Statement of Interest

Participant Demographics

Policy Acceptances

CNSI Propel Internship Program
Student Fellowship Application