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WEP Application Form

Completing the following form is the first step of the two-part WEP application process. When you have successfully submitted this online application please complete the second step of the application process, submitting 5 documents in support of your application through LionSHARE. Please review all of your responses before submitting them as you will not be able to make any edits at a later point.

*Please note the deadline for submitting the WEP application for consideration for summer 2013 funding was 11:59 pm on April 24th, 2013. Applications to the program for summer 2013 will no longer be accepted.

Personal Information

Full Name *

UNI *

School *

Graduation Year *

Telephone Number

Major(s) *

Provide either declared or intended major

Do you receive a Columbia need-based financial aid award with a savings expectation? *

Yes

No

GPA * /4.00

Have you been cited for any academic issues or disciplinary policy violations while enrolled at Columbia University? *

Yes

No

If yes, please note the nature of the violation

Opportunity Information

Kindly fill in all questions below in regards to your internship, volunteer, or research opportunity

Is this an opportunity that you have previously received WEP funding to support? *

Name of Organization *

Type of Opportunity *

Are you receiving academic credit for this work?

Will you be required to travel outside of the United States? *

Yes

No

Address *

If travel is required, please select the country

Does this organization have a non-profit status *

Yes

No

Don't know

Opportunity Contact Details - Supervisor or Faculty Adviser

Name, Title and Department *

Telephone Number *

Email address *

Position Details

Number of Hours per Week *

Number of Hours Total *

Anticipated Start Date *

Month

Day

Year

Anticipated End Date *

Month

Day

Year

How did you learn about this position? *

LionSHARE

CCE weekly email

Email from academic department

CCE website resources

Website

Professor

Family member/Friend

Professional contact

CSA Dean/Student Affairs Advisor

CCE Event

Other

Select all that apply

If you selected other, please let us know how you learned about this opportunity

If paid opportunities are available through this organization, elaborate as to why you are requesting work exemption support

Please provide a brief response. Additional information can be included in your WEP application Personal Statement

If you have applied for other funding opportunities, please list all of them below

Please provide a brief response. Additional information can be included in your WEP application Personal Statement

If this opportunity is part of a course/independent study, please elaborate on the nature of the course/study

Please provide a brief response. Additional information can be included in your WEP application Personal Statement

By submitting this application, I authorize the Center for Career Education to conduct academic, disciplinary and financial aid checks to confirm program eligibility and inform funding decisions. I understand that certain University policy violations may disqualify me from consideration for this program.

Signature (enter full name here) *

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