ALASKA SONGBIRD INSTITUTE P.O. Box 80235 Fairbanks, AK 99708 www.aksongbird.org ASI HIGH SCHOOL INTERNSHIP APPLICATION PACKET 2015 About the Alaska Songbird Institute (ASI): ASI is a nonprofit organization in Fairbanks, AK whose mission is to conserve Alaska’s boreal birds through ecological education & research. ASI has two projects on Creamer’s Refuge: the Swallow Ecology Project and the Creamer’s Field Migration Station. See www.aksongbird.org for more information. Position Description: High school field interns will be invited to work on both projects. Schedules are flexible and will be determined on an individual basis. Each intern will be expected to set goals for their internship, including the number of hours volunteered on each project, and will work towards these goals throughout the summer. See GENERAL RESPONSIBILITIES below for details on each project. Interns will work under the direction of Alaska Songbird Institute Program Director, Tricia Blake. ASI can provide training in: nest monitoring, bird banding (chicks), extracting birds from mist nets, bird identification, observation and data recording, data entry and basic analysis, and environmental education. Status: temporary/seasonal (flexible hours; May-August) General Responsibilities: Specific duties for interns working on the Swallow Ecology Project may include: monitoring nest boxes at Creamer’s Field (including keeping accurate records of when eggs are laid, hatch, & when chicks fledge; measuring and banding chicks; capturing and banding adult birds; maintaining aerial insect traps (including quantifying captures and/or identifying and preparing specimens). Interns may also be responsible for mentoring younger students and giving a presentation on their work. Duties associated with the Creamer’s Field Migration Station include: opening and closing mist nets; extracting birds from mist nets; and accurately recording data. Qualifications: Applicants should: • be 14-18 years old • possess a sincere interest in birds, scientific research, and conservation; good communication skills; a strong work ethic; and a positive attitude • be in good physical condition and able to access the nest boxes and mist nets at Creamer’s Field • be able to work independently and as part of a team Hours: Schedules are flexible and will be established on an individual basis. Each intern will set a goal for the number of hours they will volunteer based on what they would like to learn. However, a minimum requirement of 60 hours over the summer is required. Some work will occur on weekends, early mornings, and evenings. To apply: Please submit an application form and two references to Tricia Blake, Alaska Songbird Institute, P.O. Box 80235, Fairbanks, AK 99708, or email: [email protected]. Preference will be given to applications received by April 15. ©2015 ALASKA SONGBIRD INSTITUTE P.O. Box 80235 Fairbanks, AK 99708 www.aksongbird.org HIGH SCHOOL INTERNSHIP APPLICATION FORM Name & Age: Parent(s)/Guardian(s): Date of birth: Grade: School: Phone: Email: Current address: City/State/Zip: INTERESTS & SKILLS (USE THE BACK OR ADDITIONAL PAGES IF NECESSARY) Please list your hobbies, extra-curricular activities, and any jobs you have held (include volunteering). Why are you interested in the Alaska Songbird Institute’s field internship program? What would you like to learn? What are your strengths? Why do you think you would be a good field intern? SIGNATURES Signature of Student: Date: Signature of Parent/Guardian: Date: Return application to: Alaska Songbird Institute, P.O. Box 80235, Fairbanks, AK 99708 or by email: [email protected]. Priority will be given to applications received by April 15. ©2015 ALASKA SONGBIRD INSTITUTE P.O. Box 80235 Fairbanks, AK 99708 www.aksongbird.org Alaska Songbird Institute Waiver of Liability Student’s Name: ____________________________________________ Date: ____________ will be volunteering with the Alaska Songbird Institute. I understand that while working in the field he/she may encounter a variety of risks. Inherent dangers for this work are likely to include but are not limited to: difficult footing; exposure to hot, cold, and/or wet weather; possible exposure to moose, bears, and other wildlife; exposure to sun, insects, and other environmental hazards; possibility of being scratched or pecked by a bird. I am aware of the inherent dangers involved and I freely and knowingly assume all risks to my son/daughter and his/her property. I will ensure my child is prepared for work in the field each day with appropriate clothing, footwear, sunscreen, insect repellent, and other necessary supplies. Name of Parent/Guardian (print)________________________________________________ Address____________________________________________________________________ City_______________________________________State_____________Zip____________ Phone (_____)_________________________________ Signature______________________________________Date______________________ Alaska Songbird Institute Photo Release I hereby give permission for the Alaska Songbird Institute to use my child’s portrait, photograph, artwork or images to promote the organization, its programs, and achievements. Such use includes but is not limited to using images in public presentations, publications (print or electronic), grant applications, brochures, displays, reports, and on web pages and social media. Signature______________________________________Date______________________ ©2015 ALASKA SONGBIRD INSTITUTE P.O. Box 80235 Fairbanks, AK 99708 www.aksongbird.org Volunteer Health & Emergency Contact Form Student Name ________________________________________________________________ Address _____________________________________________________________________ Parent/Guardian Name _________________________________________________________ Home phone ______________Work phone _________________Cell Phone_______________ Emergency Contact (to be contacted if a parent or guardian cannot be reached): Name ______________________________ Relationship to Student _____________________ Home phone _____________Work phone __________________ Cell Phone______________ Address _____________________________________________________________________ Physician Name:_______________________________________Phone:__________________ Allergic Reaction to: Penicillin ______________ Bee Stings ________________ Food ________________________________________________________________________ Other allergies_________________________________________________________________ Is your child currently taking any medication? (name and explain)________________________ _____________________________________________________________________________ Does your child require any special (emergency) medication? (name and explain)____________ _____________________________________________________________________________ If your child has any special physical or social problems that require special attention or considerations that are not covered on this form, please explain: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ **Medications such as aspirin and TYLENOL can not be given out by Alaska Songbird Institute staff. If you feel your child may need such items, please send them with them. ___________________________________ ________________________ Parent/Guardian Signature Date ©2015
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