Broward College, Central Campus Dept. of Biological Science and Administration and the Broward College Foundation presents: Broward College’s 4th Annual Summer Internship at the Centers for Disease Control and Prevention (CDC), Division of Parasitic Diseases and Malaria in Atlanta, GA Broward College will be providing travel, lodging and a modest per diem for meals for up to 2 students. The student will be responsible for registering for the 3 credit internship course (BSC 2949/BSC4948) and any other costs. To be considered for the Internship the student must: o o o o o o o o o Fill out page 2 of this form and use as a cover sheet Have a minimum GPA of 3.0 Have completed BSC 2010 and BSC 2010L with a B or higher Completed or currently enrolled in a 2nd + level majors biology course such as BSC 2011, BOT 2010, MCB 2010, or ZOO 2010 Be a currently enrolled BC student Submit an unofficial BC (and other institution if applicable) transcript with the application Submit a 500 word essay about what career you wish to pursue and how this opportunity will impact you. Submit a letter of recommendation from a science professor Submit a resume/Curriculum Vitae Application deadline: Must be received by close of business 30 January 2015. o Applications must be hard copies. E-mail submissions will not be accepted. Incomplete applications will not be considered. Applications may be mailed or hand delivered to: Dr. David Serrano Broward College, Central Campus, Biological Sciences Bldg 7 room 140 3501 SW Davie Road, Davie FL 33314 Dr. Serrano will be screening the initial applicant pool and coordinating possible phone interview for selected candidates. The final candidates will be chosen by CDC personnel. If selected: o o o o You will go through a security clearance background check. You must show proof of health insurance (a short term policy for the duration of the internship is acceptable) You may share a room with the other selected candidate. The length of the internship is 6 weeks departing Ft Lauderdale Approximately 12 May 2015 through June 26th and will run as a session 1 summer course (BSC 2949/4948). Name:_______________________________________ Student ID number: _______________ Email: _________________________________ Address: ________________________________________________________________ ____________________________________________________________________ Home Phone: ___________________________________ Mobil Phone: ________________ GPA: _____________________ Major: ________________ credit hours completed _______ Date of Birth __________________ Sex M /F Are you a US citizen? Y / N Race _________________ Ethnicity__________________ Are you a US veteran Y / N Do you have a social security number? Y/N (do NOT provide your SS number at this time, it will be required for the background screening if you are selected) Include an unofficial BC transcript, letter of recommendation, essay and resume/Curriculum Vitae with this form. Official use only: UT/OT CV 1010 1011/+ Notes: LR E SS