Is your college a MATE partner?: Yes No
(see http://www.marinetech.org/partnering/educational.php for a list of MATE partners)?

Is this a community college?: Yes No

Are you a U.S. citizen or permanent resident?* Yes No
*NSF requires particpants to be US citizens or legal permanent residents

Optional Information:
Female Male (Check one)

Birth Date: select January February March April May June July August September October November December select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 select 19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008

Do you qualify for FAFSA? Yes No

Ethnicity (choose one or more): Caucasian Hispanic/Latino African American American Indian Pacific Islander(a person having origins in any of the original peoples of Hawaii, Guam, Samoa, Tonga and other centeral pacific Islands) Other (indicate)

Enrollment:
Full-Time (+12 Units) Part- Time (>12 Units)

Do you have disabilities that you need special accommodations for:
Yes (please describe)

Give highest year of education completed by your parents or guardian(s) (enter code; see below)
Father: select 1234567 Mother: select 1234567 Guardian(s): select 1234567

1. No high school; 2. some high school; 3. high school graduate; 4. Some college;
5. 2-year college graduate 6. 4yr college graduate; 7.Postgraduate

1. I am available to work during the following dates:
Starting work date:
Ending work date:

Except for this date span: (If necessary, select a span of dates, by clicking two dates in the calendar, that fall within your start and end dates that you will be unavailable to work.)

Please note that you will not be considered for any position whose start or end dates fall outside of the availability listed here.

2. I have experience and skills in the following areas (please briefly describe your work experience or training for each; please refer to your resume where appropriate):

NOTE: it is NOT required that you have experience in all these areas! The MATE Center takes your skills and tries to best match them to available internships. If you have any training (formal or informal) or experience in any of these areas, please be sure to check the box and give specific information on your level of experience. We electronically sort these applications based on what skills are required in each internship, so if a box is not checked for a certain area, you will NOT be considered for any internship that requires those skills.

Note: After submitting your information, you will be taken to a page that you will need to print and mail with your other documents (cover letter, resume, transcripts, and a letter of recommendation). All documents must be emailed and mailed to arrive prior to the application deadline (for more information, see http://www.marinetech.org/education/internships/applications.php).  Please ensure your information is accurate prior to submitting.