2016 Social Justice Summer Grant Shared Application



SAMPLE- Use this to prepare your answers before you fill out the on line form.2016 Social Justice Summer Grant Shared ApplicationQ1 Social Justice Summer Grants Shared Application Welcome! Welcome to the shared application process for the Social Justice Summer Grants offered by Hampshire College. With this single application, you will be able to apply for some or all of the grants listed on the Social Justice Summer Grants website. Please note that there are other grants, not included in this application, for which you may also be eligible. You can find those on the Master List of Hampshire Grants. Application Process: Detailed information about the application process is outlined on the Social Justice Summer Grants website. In order to apply for these grants, you must have ONE internship or Div II/III project in mind for which you are seeking funding. If you would like to seek funding for multiple simultaneous projects/internships, please seek advice on how to proceed. If you are applying for internship funding, you will be asked to submit a letter of support from your internship supervisor. All applicants will be asked to submit a faculty statement of support. Application Deadline: MONDAY, APRIL 4TH, 2016 Application Tips: We strongly suggest that you type your essays in a separate document and paste them into this form. Your partially completed application will be saved if you continue using the same browser, and you have not cleared your cookies or cache, but it is more reliable to complete the entire application at once. You can see the entire application, including the special essay questions for each grant, by looking at the sample application on the Social Justice Summer Grants website.? Once you submit your application, you will no longer be able to retrieve it for edits. ?Q2 Personal and Academic InformationQ3 Name as listed in the Hampshire DirectoryQ4 Name you would like us to useQ5 Preferred PronounsShe/her He/him They/them Other ____________________Q6 Hampshire emailQ7 PhoneQ8 DivisionDiv I Div II Div III Other (please explain) ____________________Q9 Name of your academic advisor or committee chairQ10 Email of your academic advisor or committee chairQ11 Your expected graduation dateQ12 Will you be returning to campus in the fall?Yes Maybe No You will be prompted to answer if you answer No to question 12Q13 Please briefly explain your plans for the fall. Note that these grants are only available for students who will be enrolled in the fall.You can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer If you answer Maybe to question 12Q14 Please briefly explain your plans for the fall. Note that these grants are only available for students who will be enrolled in the fall.You can draft your answer here- and then copy and paste it onto the on-line formQ15 Funding Request SnapshotQ16 Are you seeking funding for:An internship A project related to your Division II or III Q17 Please select all the grants from which you are seeking funding. Be sure to check the eligibility requirements to make sure they are a good match for you. (Note- you need to apply for all that you are interested in the one form- so make sure you are clear ahead of time!)Charley Richardson (70F) Award For projects or internships related to labor rights, peace studies, and the effects of war. Up to $1800. CPSC Social Justice Scholars For internships at grassroots non-profit organizations creating social change. Up to $3000. Ethics and the Common Good Summer Internship Award Up to $3500 Global Migrations Internship Grant For internships at non-profit, non-governmental organizations that work with refugees, migrant workers, new immigrants, and other displaced persons, and/or are concerned with transnational migration, human rights, citizenship, security, and other social justice issues that arise from the movements of persons across national and cultural boundaries. Up to $1000. Human Rights Fund For projects or internships related to human rights and/or social justice issues. Up to $1000. James Baldwin Div II and Div III Internship Grant Grants to assist Division II and III James Baldwin Scholars with the costs of doing an unpaid/underpaid internship that relates directly to the student's academic goals and career interests. Up to $3000. Lestor J. Mazor Endowed Fund For social justice internships with law-related nonprofit organizations in the U.S.A. or abroad. Up to $2500. Smith-Barr Internship Award For internships with an organization focused on the environment, environmental sustainability, or indigenous communities in either the U.S.A. or the developing world. Up to $2600. Q18 Are you applying for, or have you already received, any Hampshire grants or funding for this project or internship other than the ones you selected above? (You may select more than one option.)Yes, I am applying for grants other than the ones I selected above. Yes, I have received a grant or other Hampshire funding for this project. No, I have not received or applied for any grants, other than the ones I selected above, for this project or internship. You will be prompted to answer if you answered yes I have applied for other grants to question 18Q19 Grants applied for: Please list any grants to which you are applying, other than the ones you selected above,?for this project or internship. List the name of the grants and the amounts. You can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer if you answered yes, I have received a grant or other Hampshire funding for this project to question 18Q20 Grants received: Please list any grants or other Hampshire funding you are already receiving for this project or internship. List the name of the grants and the amounts.You can draft your answer here- and then copy and paste it onto the on-line formQ21 Have you ever received Hampshire funding for an internship or project before? If yes, please explain.You can draft your answer here- and then copy and paste it onto the on-line formQ22 Aside from the possibility of grant funding from Hampshire, what other support do you have for your internship or project? Please include personal savings, family contribution, housing, donations and any other support.You can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer if you indicated that you are applying for funding for an internship on question 16Q23 Does your internship offer pay or a stipend?Yes No You will be prompted to answer if you said yes to question 23 Q24 Please explain the amount of pay or stipend you will be receiving. You can draft your answer here- and then copy and paste it onto the on-line formQ25 When you consider all the other kinds of support you may already have, what is the amount of grant funding you need to be fully supported and make the most of your internship or project?* * (To calculate the amount of grant funding you need, you may find it helpful to use the expenses questions: for internships look at questions 36- 43 and for projects look at question 70 on this sample form) It is important to note that we will ask about your expenses later in this application, but you will not be able to return to this page to edit the amount you enter below.Q26 Knowing that Hampshire grants are not always enough to fully support student projects or internships, what is the minimum amount of Hampshire funding you need to be able to participate in your internship or work on your project in some way?You can draft your answer here- and then copy and paste it onto the on-line formQ27 Are you receiving Hampshire or Federal Financial Aid?Yes No Q28 Please explain your situation and how receiving this funding will make a difference to you. (200-300 words)You can draft your answer here- and then copy and paste it onto the on-line formQ29 Attention! Because this page sets the course for the remainder of your application, once you click "next," you will not be able to return to this page. In the rest of the application, you will be able to move back and forth between pages.If you are applying for an internship you will be prompted to answer questions 30- 63 as applicable. If you are applying for a project related to your Division II or III you will be prompted to answer questions 64- 78 as applicable.Q30 About your InternshipQ31 Name of the organization where you will be interning You can draft your answer here- and then copy and paste it onto the on-line formQ32 Organization website You can draft your answer here- and then copy and paste it onto the on-line formQ33 Location of your internship (city, state, country)You can draft your answer here- and then copy and paste it onto the on-line formQ34 Name and title of your internship supervisorYou can draft your answer here- and then copy and paste it onto the on-line formQ35 Internship Hours and Expenses For the questions below, please give estimates to the best of your ability. Be as realistic as possible. You may need to do some research to figure out the average travel cost to and from your internship, and the average housing, food, and transportation costs for the area where you will be staying.? If there is no cost in one of the areas, please enter $0.Q36 Approximate dates of your internship (mm/dd/yyyy)Start Date End Date ? Number of Weeks ___________Hours of Work Per Week ___________Q37 Estimated Travel CostTravel to/from Internship Site (one round trip) __________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ38 Estimated Housing CostHousing cost per week____________Number of weeks ____________Total housing cost ____________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ39 Estimated Utiliities CostUtilities cost per week ____________Number of weeks ____________Total utilities cost ____________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ40 Estimated On-Site Transportation CostTransportation cost per week ____________Number of Weeks ____________Total transportation cost ____________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ41 Estimated Cost for Food and Personal NecessitiesFood/Necessities cost per week ____________Number of Weeks ____________Total food/necessities cost ____________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ42 Other ExpensesTotal other expenses for the summer _____________Explanation You can draft your answer here- and then copy and paste it onto the on-line formQ43 Total Expenses - please carefully add up your totals from above, including travel.Total expenses for your summer internship _____________Q44 Is there anything else you need us to know about your expenses for the summer?You can draft your answer here- and then copy and paste it onto the on-line formQ45 Resume Information In this section, you can either copy and paste your resume into this application, or list your internship, employment, and other experiences. Which would you prefer?Copy and Paste my Resume List my experiences You will be prompted to answer If you chose to cut and paste in question 45Q46 Please copy and paste your resume into the box below. You may need to simplify the formatting in order to make it readable. You can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer questions 47-49 if you chose to list in question 45Q47 List your experiences that are related (even somewhat) to your internship. Please list them in order, starting with the most recent. Include internships, employment, student groups, volunteer experience, etc. EXAMPLE: Research Assistant, Voice Male Magazine, Northampton, MA, Summer 2015 - present Signer, Gender Resource Network, Hampshire College, Sept 2014 - May 2015You can draft your answer here- and then copy and paste it onto the on-line formQ48 List any other employment you have had. EXAMPLE: Building Monitor, Robert Crown Center, Hampshire College, Fall 2015 - present Barrista/Server, Brooklyn Roasting Company, Brooklyn, NY, Summers 2013 – 2015You can draft your answer here- and then copy and paste it onto the on-line formQ49 List any other experiences or awards you would like us to know about. You may also use this space to tell us anything else you would like us to know about your experience or work history. You can draft your answer here- and then copy and paste it onto the on-line formQ50 Internship Essay Questions Please answer each of the following questions in 200-300 words. We recommend that you type your responses in this sample form or into a different document and then paste them into the actual form. Do your best to use clear language and be thorough yet concise. You will have the opportunity to edit your responses before you submit your application.You will be prompted to answer if you indicated that you are Div II or Div III in question 8Q51 Please explain your Division II concentration or Div III, and how your summer internship would directly connect with and enhance your academic goals. Be sure to include: A clear and concise explanation of your Division II or Division III How your summer experience would directly relate to your academic goals What issues you expect to grapple with in your internship experience,? what you hope to learn, and how this internship will further an aspect of your Division II or Division IIIYou can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer if you indicated that you are Div I in question 8Q52 Please explain your intended course of study, and how your summer internship would directly connect with and enhance your academic goals. Be sure to include: A clear and concise explanation of your intended course of study How your summer experience would directly relate to your academic goals What issues you expect to grapple with in your internship experience,? what you hope to learn, and how this internship will further an aspect of your studiesYou can draft your answer here- and then copy and paste it onto the on-line formQ53 Describe your specific responsibilities and how you will be supervised during the course of this internship.You can draft your answer here- and then copy and paste it onto the on-line formQ54 What are your career goals (however tentative or general they might be), and what skills and/or knowledge do you expect to gain that will help clarify or move you toward these goals?You can draft your answer here- and then copy and paste it onto the on-line formQ55 Special Essay Questions for the Grants you selectedIn the following pages, you will find essay questions for each grant you selected. You can click "next" to page through all the questions before you begin, and then return to the first question. Since you are not able to de-select any of the grants at this point, if you change your mind and decide not to apply for any of them, simply write "Decided not to apply" in the essay box and continue to the next question.You will only be prompted to answer the questions related to the grants you selected in question 17.Q56 Essay Question for Charley Richardson (70F) Award Charley Richardson's life work focused on organizing and building the collective voice and power of workers and their unions, especially in relationship to changes in work processes and the organization of work, the impact of new technology, and issues of occupational safety and health. He also sought to amplify the voices for peace among those most impacted by war, including military families, those in the military, veterans, those caught in the cross-fire of war, and others. How does your internship further the ideals and activism of Charley Richardson?You can draft your answer here- and then copy and paste it onto the on-line formQ57 Essay Question for CPSC Social Justice Scholars Please explain how your proposed internship addresses issues of social change/social justice, both in reference to the work of the organization and your role as an intern.You can draft your answer here- and then copy and paste it onto the on-line formQ58 Ethics and the Common Good Summer Internship Award Please explain how your internship explores and/or promotes ethics and the common good.? What are the core values that will guide your own actions as you embark on this experience, and what are the institutional beliefs and/or actions that you wish to explore??You can draft your answer here- and then copy and paste it onto the on-line formQ59 Global Migrations Internship Grants ? Please describe?how your? proposed? internship relates? to? transnational migration, human rights, and/or? other? social? justice? issues? that? arise? from the movements of persons across national and cultural? boundaries. Be sure to include? the? names, goals and any pertinent history of the organization and how your internship deals with transnational issues of community service, social justice/social? change. ?You can draft your answer here- and then copy and paste it onto the on-line formQ60 Human Rights Fund Please explain how your internship directly supports, examines or raises awareness of human-rights and/or social justice issues as defined in the Universal Declaration of Human Rights.You can draft your answer here- and then copy and paste it onto the on-line formQ61 James Baldwin Div II and Div III Internship Grant Please write a short (200 word) bio. Include your name, a little about your background, what you’re studying at Hampshire, career ideas you’re considering, other interests that are important to you, etc.You can draft your answer here- and then copy and paste it onto the on-line formQ62 Lester J. Mazer Endowed Fund Please explain how your internship is social justice oriented and how it relates to some aspect of the law, legal institutions, or legislation.You can draft your answer here- and then copy and paste it onto the on-line formQ63 Smith-Barr Internship Award Please explain how your internship relates to the environment or indigenous communities in the U.S. or the developing world.? If your internship focuses on Native American communities in Alaska, please be sure to include that, as that is a particular interest of one of our donors.You can draft your answer here- and then copy and paste it onto the on-line formIf you are applying for an internship grant you will be prompted to skip to question 79Q64 Project Essay Questions If you selected Projects instead of Internships- you will need to look at questions 66-78. We recommend that you type your responses here or into a different document and then paste them into the on-line form. Do your best to use clear language and be thorough yet concise. You will have the opportunity to edit your responses before you submit your application.Q65 Please describe the project for which you are seeking funding. If you are doing a research project, please describe: a) The area of research and it's grounding in the research literature b) The specific question to be investigated c) the research design or methods d) the anticipated outcomes of the research and its implications. If your project is not research-based, please describe: a) The problem or issue you are investigating or working on b) The nature and goals of your project c) The specific actions or activities you will perform d) Who will be involved and the anticipated or desired outcomeYou can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer if you indicated that you are Div II or Div III in question 8Q66 Please explain your Division II concentration or Div III, and how your summer project would directly connect with and enhance your academic goals. Be sure to include: A clear and concise explanation of your Division II or Division III How your summer experience would directly relate to your academic goals What issues you expect to grapple with in your project,?what you hope to learn, and how this project will further an aspect of your Division II or Division IIIYou can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer if you indicated that you are Div I in question 8Q67 Please explain your intended course of study, and how your project would directly connect with and enhance your academic goals. Be sure to include: A clear and concise explanation of your intended course of study How your summer experience would directly relate to your academic goals What issues you expect to grapple with in your project,?what you hope to learn, and how this project will further an aspect of your studiesYou can draft your answer here- and then copy and paste it onto the on-line formQ68 Who will submit your faculty letter of support? Include their name and email.You can draft your answer here- and then copy and paste it onto the on-line formQ69 Project ExpensesQ70 In the table below, please enter all your project expenses. In the left hand column, enter a description of the expense. In the right hand column enter the dollar amount. In the last row, please carefully total the dollar amount. Examples of expenses are materials, supplies, travel, housing, food, etc. Please be clear yet frugal in what you include here, as this will show the selection committee why funding is needed for this project.ExpenseDollar AmountExample: Snacks for 10-15 interview participants (1)$40 (1)? (1)? (2)? (3)? (4)? (5)? (6)? (7)? ? ? ? ? ? ? ? ? ? ? ? ? ????????? TOTAL (8)Q71 Resume Information In this section, you can either copy and paste your resume into this application, or list your internship, employment, and other experiences. Which would you prefer?Copy and Paste my Resume List my experiences You will be prompted to answer this if you selected to copy and paste your resume in question 71.Q72 Please copy and paste your resume into the box below. You may need to simplify the formatting in order to make it readable.You can draft your answer here- and then copy and paste it onto the on-line formYou will be prompted to answer questions 73-75 if you selected to list your experiences in question 71.Q73 List your experiences that are related (even somewhat) to your project or career interests. Please list them in order, starting with the most recent. Include internships, employment, student groups, volunteer experience, etc. EXAMPLE: Research Assistant, Voice Male Magazine, Northampton, MA, Summer 2015 - present Signer, Gender Resource Network, Hampshire College, Sept 2014 - May 2015You can draft your answer here- and then copy and paste it onto the on-line formQ74 List any other employment you have had. EXAMPLE: Building Monitor, Robert Crown Center, Hampshire College, Fall 2015 - present Barrista/Server, Brooklyn Roasting Company, Brooklyn, NY, Summers 2013 - 2015 You can draft your answer here- and then copy and paste it onto the on-line formQ75 List any other experiences or awards you would like us to know about. You may also use this space to tell us anything else you would like us to know about your experience or work history.You can draft your answer here- and then copy and paste it onto the on-line formQ76 Special Essay Questions for the Grants You Selected In the following pages, you will find essay questions for each grant you selected. You can click "next" to page through all the questions before you begin, and then return to the first question. Since you are not able to de-select any of the grants at this point, if you change your mind and decide not to apply for any of them, simply write "Decided not to apply" in the essay box and continue to the next question.You will be prompted to answer only the questions pertaining to the grants you selectedQ77 Charley Richardson (70F) Award Charley Richardson's life work focused on organizing and building the collective voice and power of workers and their unions, especially in relationship to changes in work processes and the organization of work, the impact of new technology, and issues of occupational safety and health. He also sought to amplify the voices for peace among those most impacted by war, including military families, those in the military, veterans, those caught in the cross-fire of war, and others. How does your project further the ideals and activism of Charley Richardson?You can draft your answer here- and then copy and paste it onto the on-line formQ78 Human Rights Fund Please explain how your project directly supports, examines or raises awareness of human-rights and/or social justice issues as defined in the Universal Declaration of Human Rights.You can draft your answer here- and then copy and paste it onto the on-line formQ79 Questions Completed Once you have uploaded all of the questions above onto the on-line form you will have completed the question and essay portion of your application. In the next pages, you will find important information on the next steps in the application process. Please make sure to click all the way to the end of the application until you see the SUBMIT button.? Your application will only be submitted once you click the SUBMIT button on the on-line form.Q80 Grant Reporting Requirements The opportunity to apply for funding to support your summer internship or project is made possible by Hampshire alumni and friends of the College who, like you, care about social justice and want to make a difference in the world.? These donors have chosen to support Hampshire students in their journeys to becoming change-makers, because they believe all students should have access to opportunities that will both change the world and change their lives. Part of receiving grant funding, at Hampshire and anywhere else, is the responsibility to communicate with the donors about how the grant money was used and the difference it made. We help you with this by providing a structure of grant reporting requirements. Because the donors differ, each grant has slightly different requirements. Examples of reporting requirements are: - Thank-you letter when you receive the grant - Mid-Internship report - Final report or self-reflection - Photo documentation - Thank you letter when you complete the internship - Thank you letter to your internship supervisor We wish you the very best of luck in this grant application process. If you do receive a grant and decide to accept it, please be prepared to complete the reporting requirements asked by your particular grant.I understand that, should I receive a grant and choose to accept it, I will be responsible for some or all of the grant reporting requirements listed above. I understand that I will learn more about my specific reporting requirements upon my acceptance of the grant. (1)Completing Your Application You will be prompted to answer if you are applying for internship grantsQ81 This form is one part of the application process. In order to complete your application, you will need to submit a statement of support from your internship organization, as well as a faculty statement of support, which are both online forms.? These forms, as well as instructions on how to submit them, are on the Summer Social Justice Grants website. ?I understand that I need to ask my internship supervisor to submit the online organization statement of support, and it needs to be submitted in order for my application to be complete. (1)I understand that I need to ask a faculty member to submit the online faculty statement of support, and it needs to be submitted in order for my application to be complete. You will be prompted to answer if you are applying for a grant for a project related to your Division II or III Q82 This form is one part of the application process. In order to complete your application, you will need to submit a faculty statement of support. The faculty statement of support form, as well as instructions on how to submit it, are on the Summer Social Justice Grants website. ?I understand that I need to ask a faculty member to submit the online faculty statement of support, and it needs to be submitted in order for my application to be complete. (1)Q83 Review Your Application. On the next page you will see a summary of your responses. You may go back and edit your responses if you wish. From the summary page, once you click submit, you will no longer be able to view or change your responses. ................
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