"Empowering World's Agents of Change" Internship & Leadership Training and Development (EACILD)

Internship & Leadership Development (EACILD) Program Application

Last Name _______________________________________ First Name___________________________________ Middle Initial ______
                                           
Male __ Female __  Birthdate: M/D/Y ___________ Birth Place _________________  Single __ Married __  My age at arrival in USA ____

US Citizen: Yes __ No __ Permanent US Resident: Yes __ No __ Passport # _______________________ Nationality ______________

Telephone  _______________________ Fax  ______________________ E-mail  ___________________________________________ 

Present Mailing Address

College/University/Other ________________________________________________________________________________________

Street Address: ______________________________________________________  City: _____________________________________
                        
State/Province ______________________ Zip/Postal Code __________  E-mail ____________________________________________

Phone ________________________ Fax _________________________________________ Effective Until: M/D/Y ___________

Permanent Mailing Address

Street Address: ______________________________________________________  City: _____________________________________
                        
State/Province ______________________ Zip/Postal Code __________  E-mail ____________________________________________

Phone ________________________ Fax _________________________________________

Person Whom AGF should contact in an emergency; Name ________________________________________ Relationship_____________
   
Emergency contact’s Telephone Day ________________________________     Night _________________________________

Fax _______________________________________________  E-mail ______________________________________________________

Admission Information

Applying for:    Term/Period: _______________________________________________    Year: __________________

Preference for Internship Site:

U. S. Government ___    Business/Corporate ___    Embassy ___    AGF ___      Other (specify): ________________________________

AGF will attempt to place intern with the desired entity, however AGF can not guarantee it.

Academic Information

Status during program: 2nd Semester sophomore ___ Junior ___ Senior ___ Graduated ___ Other ______________________________

Your school’s calendar: Semester ___ Quarter ___ Trimester ___ 4-1-4 ___ Other ___________________________________________

Major: ___________________________________________ Minor: ________________________________________________

Enrollment Status: Full-Time ___ Part-Time ___    Cumulative Grade Point average (based on a 4.0 scale) __________

Have you previously participated in an internship program: Yes ___ No ___

If Yes, list all programs: ___________________________________________________________________________________________

List honors you have received since your senior year in high-school: _________________________________________________

________________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

List special skills/talents that you have (such as computer languages, Internet, foreign language proficiency):

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________


Previous Educational Experience (include all other colleges/universities attended, beginning with the school you now attend):

Name                                                  Location                                                  Dates Attended            Degree

____________________________   ______________________                    _________________    ___________

____________________________    _____________________                     _________________    ___________

____________________________   _____________________                    _________________    ___________

____________________________    _____________________                     _________________    ____________


Work Experience (list current and previous work experience):

Organization                                       Location                                              Dates                          Position

____________________________    _____________________         _______________    ___________________

____________________________    ____________________            _______________    ______________

____________________________    ____________________            _______________    _______________

____________________________    ____________________            _______________    ______________


References (Provide names, addresses, titles and telephone numbers of two references who are familiar with your academic work):

Name                                                                     Title                           Address                                  E-mail

_____________________________                    _______________    ______________________    _______________________________

_____________________________                    _______________    ______________________    _______________________________

_____________________________                    _______________    ______________________    _______________________________

_____________________________                   ______________     ______________________    _______________________________


Please note any special conditions of which AGF should be aware in order for you to fully participate in our program. Use a separate sheet if necessary.

Additional Information

Native language ___________________ If English is not your native language, have you taken the TOEFL exam? Yes ___ No ___

Date TOEFL taken Month _____ Day _____ Year _____          Score __________________

Use the following code to indicate your proficiency in other foreign languages     3 = Fluent 2 = Adequate    1 = Slight

Language _________________________ Speaking ______    Reading ______ Writing ______

Language _________________________ Speaking ______    Reading ______ Writing ______

Foreign countries visited __________________________________________________________________________

Have you worked with a computer? Yes ___ No ___

If yes, which type(s)? IBM ___ Macintosh ___ Other ___          Will you bring a computer with you? Yes ___ No ___

What software have you used? (such as: MS Word, Excel, Power Point, QuarkXpress, Photoshop, etc.) _____________

_______________________________________________________________________________________________

Do you have any experience designing web pages? Yes ___ No ___

Do you have any other computer, Internet, Network Administration experience? _________________________________

State and Congressional District in which you vote (optional) _______________________________________________

If your internship placement cannot be reached by bus or subway, would you have a car to commute to work? Yes ___ No ___

INTERNSHIP AGREEMENT
1. I understand that this application form, plus the supporting documents I provide, become the property of Americas Global Foundation (AGF) and will be shown to potential supervisors of my internship. I will not request that the materials be returned or transferred to other institutions or potential employers.
2. I certify that I have read AGF’s Internship Application form and understand and agree to AGF’s refund and cancellation policies. I understand that the program fee will be payable to AGF by the due date that will be noted on my invoice and that AGF reserves the right to assess a finance charge if my account is overdue. During my internship, I understand that I am responsible for any and all expenses that may be incurred. I am responsible either personally or through my insurance coverage.
3. In the event I am not a US citizen, I understand that the US Embassy in my country has the authority to grant me or no a visa to enter the US for the internship.
4. I certify that I personally have completed this application and that the information I am providing is complete and accurate. Information is subject to verification.

Sponsor Agreement
I have reviewed this application and endorse this applicant’s candidacy for an AGF internship program. I certify that he/she will be ___ will be not ___ receiving academic credit for this internship experience, as detailed on page ___ of the Internship Application Form, and that the Financial Information section is correct.

Name: _______________________________________________    Title: ______________________________

Mailing Address: ___________________________________________________________________________

_________________________________________________________________________________________

E-mail _____________________________________________ Phone __________________________ Fax _________________

Signature of Liaison or AGF's representative ____________________________________ Date __________

Financial Information

Who will be paying your program fee?    School ___     Parents ___    Self ___    Other ___

Who will be paying your housing fee?    School ___     Parents ___    Self ___    Other ___

Who will be paying your airline ticket?    School ___     Parents ___    Self ___    Other ___

Name: ___________________________________________ E-mail: ___________________________________________________

Housing

Please indicate special needs or requirements ______________________________________________________________________

___________________________________________________________________________________________________________


Roommate Preferences

Your answers to the following questions will help us to match the most suitable roommates. Please describe yourself as best possible.

Indicate your gender to facilitate roommate matching: M ___ F ___      Smoker ___ Non-Smoker ___

Day person (go to bed early, rise early) __ Night person (go to bed late) __ Prefer to study with music __ Prefer quiet when studying __

I ___ would ___ would not mind if my roommate had occasional overnight guests.

Specific roommate preferences (if any) ___________________________________________________________________________

Please indicate racial/ethnic group with which you most clearly identify. (Used for statistical purpose only)

African American ____ Hispanic _____ Asian or Pacific American ____ White ____ Alaskan or American Indian ____

Other (specify) _________________________________________________________________________________


Housing Policies

AGF is not responsible for loss or damage to personal property and recommends that you insure your valuables. AGF does not permit pets on the premises except for seeing eye dogs. AGF reserves the right to change intern accommodations at any time, fill a vacancy in the room by placing another person in the room without prior notice and enter the room for inspection or repairs. AGF reserves the right to expel any intern from AGF housing whose conduct, in the opinion of AGF, is harmful or potentially harmful to the interns in our program or others. Interns should refer to the AGF Intern Handbook for the Rules of Intern conduct. All official housing facilities of AGF reserve the right to set and enforce policies specific to the housing facilities and grounds. Copies of all documents are available upon request at orientation and check-in. Rules and regulations are subject to change.


Housing Agreement
I certify that I have read AGF’s Housing Policy. I understand and agree to the information detailed therein.

Signature of Applicant _____________________________________         Date __________________

Print name ______________________________________________


The above stated information is true to the best of my knowledge.

Name: _______________________________________________            Date: ___________________


Signature: ____________________________________________


Send to Americas Global Foundation, AGF, 930 M Street NW Suite 609 Washington, DC 20001; fax to 202 216 9550
or Email it vip@theamericas.org                         www.theamericas.org            
 
Statement of Purpose

Please state your reason for applying for an internship and how this expertise will enhance your college and or professional experience. Also include the type of experience you are seeking. (Please type your statement)



The following are observations made by interns about their experiences with different organizations in Washington, DC:

“During my internship at AGF, I was so glad to become involved in AGF’s “Empowerment -Agents of Change” Internship and Leadership Development Program, as I was asked to assist Mr. Victor Pinzon in the program promotion and planning. These experiences enriched my thinking of promotion, not only of the product itself, but also of the services and benefits the internship program offers. Thus, I gained experience, which relates and complements exactly what I have learned in International Business courses; such as media strategy in advertisement, the service trade sector and the logistic sector.”  Ligina Gong, AGF Intern, from China

“As an alumnus of the Foundation, I believe that AGF is heading in the right direction, doing what others have not done yet and trying to accomplish a goal that would alter the lives and minds of many people from various cultural and ethnic backgrounds. I can proudly say that Americas Global Foundation is committed to training, developing and coaching future leaders through a unique comprehensive empowering program. “ - David Dzidzikashvili, AGF Intern, from Republic of Georgia

"AGF is becoming an instrument of growth in my life. It is a tool and a vehicle for Latin American countries to enter effectively into the U.S.A. and global market…. Mr. Pinzon may describe AGF in terms of its vision, mission, goals and projects; But I say that AGF is just people helping people!"  Daniel Cardona, Teacher & AGF Intern from Puerto Rico; sponsored by Puerto Rico's Legislature

"I am very thankful and truly blessed for this summer experience…. I achieved what I set out to accomplish in this environment and was overjoyed."   Gwendolyn Devins, J C Smith University, NC
"Internships provide invaluable work experience and this internship was no exception. The projects that I assisted with contained many lessons that I will take into graduate school and into medicine."
Carl Middleton, Howard University, Washington, DC

"It has been a great honor to have this chance that I would have dreamed about if I didn't work hard in school and keep good grades."  Kisha Miller, South Carolina State University, Orangeburg, SC

"I learned so much about so many things…this program was one of the best…Thank you for this wonderful opportunity…"  Marilyn Grayned, Norfolk State University, VA

"This internship continued to help me mature professionally as well as personally. I would like to thank everyone who contributed for me to have this unforgettable experience."  Timothy Manigault, Benedict College, Columbia, SC

AGF's Internship Program
Americas Global Foundation (AGF) is committed to provide students and others a unique and valuable experience in Washington, DC with the US Congress, The White House, Federal Government departments and agencies, Embassies, Multilateral organizations, Corporate America, Academia, Media, NGOs, and other entities, depending upon the interest of the interns.

Some Benefits
The AGF Internship Program provides its Interns some of the following opportunities and benefits:

Work or see operations at government and semi-government agencies
Meet executives and senior staff officers
Engage in meaningful dialogue, learning experiences, and interactions with the different officials and others
Enhance campus-based learning and other personal experiences
Expose the different officials of government and private sector to a cultural diverse group of students and others from Latin America and the Caribbean
Gain a varied and valuable experience working on different programs and events of AGF
Visit the many cultural and historical sights in the Washington Metropolitan area
As AGF member, upon return to their points of origin, AGF along with its growing global network will offer logistic support and a synergy of opportunities to its alumni interns to help them achieve their personal
professional goals. AGF expects them to become leaders, mentors and the “Empowerment -Agents of Change” in their communities and countries.

Recruitment
Interns are recruited through a nomination process and through advertisement at the respective member colleges / universities or AGF’s representatives. While AGF will strive to place students at the entity of their choice, those who have over 3.0 grade point average and strong computer skills regardless of major tend to fare better in the selection process by the different agencies, organizations or companies.

Requirements for Selection
Completed Application
Resume (current)
A 3.0 cumulative grade point average
Two letter of recommendation from faculty and or recognized leaders of the community
Official transcript
Typed Personal Statement

What AGF and or the Entity provide
A one day orientation session at AGF and the selecting entity
One day a week meetings /conferences with different speakers on selected topics organized by AGF
Supervision of intern's work by AGF staff and by the entity supervisor, when applicable
Residential accommodations by AGF
Various social and outing events organized by AGF. These are optional and interns will share the actual cost.
Letter of invitation to the selected intern from AGF addressed to the corresponding US Consulate in Latin           
America or country of residence to consider issuing the visa to come to Washington, DC to our internship program

Application Process
Ask your institution to forward an official transcript of your academic work to the Internship coordinator at AGF, and copy to AGF's Representative in your country
Attach a recent and typed copy of your resume
Include two letters of recommendation to the Internship Coordinator at AGF
Include one original and three typed copies of your application to the Internship coordinator at AGF
Include one original and three copies of your Personal Statement
Deadline for Application contact us

Cost of the Program
The cost of the internship program varies according to various factors, such as the length of the program.
The cost of the internship program may include four main components:

1. $100 Application nonrefundable fee payable with the Application Form
2. Roundtrip airline ticket from airport city of origin of the intern to Washington, DC
3. Housing accommodations in the Washington Metropolitan area, varies from $800 to $1,300 per month
4. Internship program administration fee by AGF; varies according to the length of the program

Anyone interested in working with Americas Global Foundation as an Intern or Volunteer or Representative, we invite you to help us expand our "Empowerment -Agents of Change"  AILD program throughout the Americas or to contribute donate resources for this or any of the other AGF's projects or programs; please contact us: