Research Institute for Advanced Computer Science
An institute of the Universities Space Research Association

2024 DHS Integrative Research in Emerging Technologies Internship

Application Form

Form closes on June 30, 2024 at 11:59 p.m., U.S. Central Standard Time, GMT -6

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Contact Information

First Name

Middle Name

Last Name

Personal Email

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School Email

Primary Phone

Secondary Phone

Permanent Address

Street 1

Street 2

City

State / Province / Region

Zip / Postal Code

Country

Address During the School Semester

Is your address during the school semester the same as your permanent address?

Street 1

Street 2

City

State / Province / Region

Zip / Postal Code

Country

Requirements

Are you willing to participate in a virtual internship program?

Are you willing to participate in an in-person internship program?

If accepted to an in-person program, do you agree to comply with any onsite COVID-19 mitigations (such as proof of vaccination, wearing a face mask, and/or daily health checks)?

If accepted to a virtual program, are you able to communicate through video conferencing, email, and phone during arranged working hours?

To participate in the summer intern program, you will need to have a U.S. Social Security Number or current U.S. Individual Taxpayer Identification Number (ITIN). Do you have or can you obtain either of these documents before the internship begins?

Do you foresee any absences during the period October 6, 2022 to May 31, 2023?

From which time zone would you be working (e.g., U.S. Eastern, Central, Mountain, Pacific, etc.)?

Scholastic Information

School / University Presently Attending

Degree Program

Grade Point Average

(4.0 = A, 3.0 = B)

Current Major

Will you be integrating your internship project with thesis or capstone?

Please indicate the name of your faculty advisor:

Have you applied for admission to undergraduate/graduate school?

Upload your transcript.

Do not upload any documents that contain sensitive Personally Identifiable Information (PII) such as social security number, date of birth or school identification numbers.

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Areas of Interest

Identify three (3) areas of interest from the potential areas of research listed in the pull-down menu below and rank these from 1 to 3.

Interest 1

Interest 2

Interest 3

Biographical Information

Please provide information regarding relevant work experience or coursework (e.g. previous internships, research positions, projects) as well as information regarding specific skills and level of experience for each (e.g. python - beginning, intermediate, expert).

Do not upload any documents that contain sensitive Personally Identifiable Information (PII) such as social security number, date of birth or school identification numbers.

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Upload your CV in PDF format.

Do not upload any documents that contain sensitive Personally Identifiable Information (PII) such as social security number, date of birth or school identification numbers.

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Letters of Recommendation

One (1) letter of recommendation is required and must be submitted electronically by the application deadline. Recommenders must submit their letters through the online form. Letters sent by email or after the application deadline will not be accepted. Please provide the names and email addresses of the individuals who will be submitting letters of recommendation.

	Full Name	Email Address
1.
2.

Citizenship

Are you a U.S. Citizen?

Are you a naturalized U.S. Citizen?

Date of naturalization

Birth Country

Birth Province

Birth City

1st Citizenship

Are you a Lawful Permanent Resident of the U.S.?

Resident Since (mm/dd/yyyy)

Are you Currently in the U.S.?

What is your current immigration status?

Other Immigration status

Have you ever been on a J-1 short-term scholar status before?

Date Status ended

Do you have a current, pending application for another status?

What Status?

Do you have dual citizenship?

2nd Citizenship

Demographics Information

USRA is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, USRA invites internship applicants to self-identify their gender, race, and ethnicity. Submission of this information is voluntary, and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

As government contractors, USRA also complies with government regulations, including but not limited to, affirmative action responsibilities as required under Executive Order 11246, Section 503 of the Rehabilitation Act of 1973, section 4212 of the Vietnam Veterans Readjustment Act of 1974, and Veterans Employment Opportunities Act (VEOA) of 1998.

Gender

Preferred Pronouns

Date of Birth (mm/dd/yyyy)

Race / Ethnicity

Are you Hispanic or Latino?

Select one or more of the following races:

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other Race

U.S. Veteran Status

Not a veteran

Armed forces service medal veteran

Disabled veteran

Recently separated veteran

Other veteran

Disability Status:

Do you have a qualifying disability that is protected under the American Disabilities Act or the Rehabilitation Act of 1973?

I certify that I have removed all sensitive Personally Identifiable Information (PII) such as Social Security Number, date of birth or school identification numbers from documents submitted with this application.

I certify that the information provided on this application is complete and accurate. I understand that any false statements or omissions may be considered grounds for termination of my application and/or internship.