Key Request Name * Email * Title/Position * Employee ID # * Laboratory * Phone Number * Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 Faculty Advisor * Faculty Advisor Email * Read more about Key Request
Employer Application for the UCI Chemistry Field Studies Program Independent Study Employer Application Organization Name * Organization Address * Organization Website Type of Organization * - Select -ConsultingNon-ProfitPrivate SectorPublic SectorNational LaboratoryOther Consulting|Consulting Non-Profit|Non-Profit Private-Sector|Private Sector Public-Sector|Public Sector National-Laboratory|National Laboratory Other|Other If Other Please Describe What department or team will host the intern? * Who should students contact to learn more about this opportunity? Organization Contact * Contact Position * Contact Email Contact Number * Application Deadline Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 Application deadline is - None -FixedRolling Fixed: all candidates are considered after the deadline. Rolling: candidates should apply and will be considered at all times. Start of Internship Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 End of Internship Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 The start and end dates of the internship are flexible - None -YesNo Is this primarily a summer internship opportunity? - None -YesNo How will students apply for this opportunity? Please let us know if a background check is required, as well as if there will be any costs to applicants. * Please provide a bried overview of your organization's mission and services * Describe what role(s) an intern will play in your organization's daily activities * How much time do you expect your interns to commit each quarter? * Work Hours (Type) * WeekdaysWeeknightsWeekendsWeekend Nights How many interns are you willing to accept each quarter? * Please list all skill and knowledge requirements/qualification for applicants * Please describe what skills and knowledge training your organization will provide over the course of the internship * Non-discrimination Policy Statement for University of California Publications Regarding Student-Related Matters Non-Discrimination Agreement * I AGREE to the statement below I DO NOT agree to the statement below The University of California, in accordance with applicable Federal and State law and University policy, does not discriminate on the basis of race, color, national origin, religion, sex, gender identity, pregnancy*, physical or mental disability, medical condition (cancer related or genetic characteristics), ancestry, marital status, age, sexual orientation, citizenship, or service in the uniformed services**. The University also prohibits sexual harassment. This nondiscrimination policy covers admission, access, and treatment in University programs and activities. *Pregnancy includes pregnancy, childbirth, and medical conditions related to pregnancy or childbirth. **Service in the uniformed services includes membership, application for membership, performance of service, application for service, or obligation for service in the uniformed services. The University of California has an established policy of nondiscrimination that is printed in full, above. The University requires that representatives of your organization, when agreeing to accept, train, and supervise independent study students, be aware of and comply with this nondiscrimination statement. By checking AGREE you are indicating an agreement to comply with the policy of nondiscrimination in providing opportunities to Chemistry Independent study students, is required. Organizations unable to abide by the nondiscrimination statement cannot be approved as Chemistry field placement sites. Read more about Employer Application for the UCI Chemistry Field Studies Program