2024 Cohort Application - Lower Nine Center for Sustainable Engagement and Development

INTERN CONTACT INFORMATION - Step 1 of 6

NEW APPLICANT
RETURNING APPLICANT

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Name *

School 2024 - 2025 Academic Year *

Phone *

Date of Birth *

Grade 2024 - 2025 Academic Year *

Email Address *

Mailing Address *

Address Line 1

City

State

Preferred method of contact: *

Call
Email
Text

PARENT/ GUARDIAN CONTACT INFORMATION:

Name *

Phone *

Relationship (to Intern) *

Email Address *

Mailing Address (if different from intern)

Address Line 1

City

State

Preferred method of contact: *

Call
Email
Text

Contacts

Primary Name *

Primary Phone *

Relationship *

Secondary Phone

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Contacts (copy)

Secondary Name

Primary Phone

Relationship

Secondary Phone

Persons

Primary Name *

Primary Phone *

Relationship *

Secondary Phone

Persons (copy)

Secondary Name

Primary Phone

Relationship

Secondary Phone

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SHIRT (ALL ADULT) SIZE (FOR T-SHIRTS & LAB COATS): *

Small
X-Large
Medium
XX-Large
Large
XXX-Large

Please list below any Allergies, Dietary Restrictions or Health Conditions

Medications and/or Medical Devices

Please indicate below your area(s) of interest (pick up to 3): *

Drinking Water to Sewerage
Financial Literacy
Flood Protection
Green Infrastructure
Social Media Storytelling
Water Testing+Monitoring
Municipal Water Systems
Environmental Justice
Environmental Career Tracks
Scientific Communication

Have you ever participated in a similar internship program? *

If yes, can you briefly describe that experience?

Please list any current hobbies, clubs, and/or interests: (These do not have to be related to the program, but will help us get to know you better) *

Please list any future career interests: *

PROGRAM HUBS: The 5-week summer session will be headquartered at the Tate, Etienne, Prevost (TEP) Center, located at 5909 St. Claude Avenue, New Orleans, LA 70117, however we will also be using CSED Headquarters - located at 5227 Chartres St. New Orleans, LA 70117 as a secondary program hub.

TRANSPORTATION
Participants will walk or be transported to locations throughout the Lower 9th Ward and other local areas for more field experiences + study.

I understand and agree that my child’s parent/guardian must arrange for transportation to and from either of our program hubs on all of our in-person program days.

FIELD TRIPS: Please indicate if the Intern applicant is permitted to attend research and program field trips. Detailed notifications will be sent in advance. *

Participants will receive a stipend and other benefits for their time and dedication.

SAVE THE DATES:
Applications are due by: Saturday, June 21, 2024
Orientation will be held: Saturday, June 22, 2024

For more information, contact us at: info@sustainthenine.org or by phone at (504) 324.9955.

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