Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
1 Food and Nutrition Internship/Independent Study Application Form Directions: Please complete the following application form, and submit it with a printed copy of your Degreeworks transcript to your faculty adviser. Due dates are: summer and fall semester is during spring advising period and spring semester is during fall advising. Resume: You must submit a professional resume with the internship application. Visit the Career Services website for help with your resume: https://www.framingham.edu/the-fsu-difference/career-services/index Schedule an appointment with Career Services to review your resume BEFORE you submit it; you must include documentation that Career Services has reviewed your resume. Once your internship application is approved, send an electronic copy of your resume to the course instructor. 1. Student name 2. Current address __________________________________________ Date _______________ ____________________________ Email address _______________________________________________Phone__________________ 3. Transportation is the student responsibility. Where will you be living during your internship? _______________________________________________________________ 4. Faculty adviser ________________________ 5. Please check your concentration in the food and nutrition major: ___ FNW (Nutrition and Wellness) ___ FND (Nutrition and Dietetics) 6. Semester internship requested: Fall 20____ Spring 20____ 7. Expected graduation date, please complete: May 20____ 8. Current QPA for all courses in major__________ Summer 20 ____ August 20____ December 20____ 9. Check the type of internship which you are requesting. Please review course descriptions in the catalog at https://www.framingham.edu/Assets/uploads/academics/catalogs/_documents/undergraduate-catalogs/20152016-undergraduate-catalog/undergraduate-catalog-2015-2016.pdf ___ NUTR 495 Internship in Food and Nutrition ___ NUTR 499 Food and Nutrition Internship: Natick Soldier Research, Development and Engineering Center (NSRDEC) ___ NUTR 490 Independent Study in Food and Nutrition 10. Are you able to communicate in a language other than English? ____ Yes 11. ____ No If yes, which language? ____________________________________ Are you a certified personal trainer? ____________ If yes, please attach copy of certificate. 2 12. Complete the chart below. Write the grade you received for each of the following required courses in major. Indicate the status courses by writing ‘IP’ to indicate ‘in-progress’; “fall or spring” for all courses to be taken during proposed internship. Write “NA” for all courses not required in your concentration within the major. Course Grade or Status: see details above NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR NUTR 205 262 271 364 374 381 384 333 390 478 479 482 483 490 495 BIOL 142 BIOL 235 BIOL 307 CHEM 103 CHEM 107 CHEM 108 CHEM 201 CHEM 207 CHEM 301 CONS 105 CONS 210 CONS 310 ENGL 286 Nutrition Science and Applications Food, Culture and Society Nutrition for Sport and Exercise Experimental Foods Human Nutrition Science Introduction to Nutritional Practice Foodservice Systems Chronic Disease Special topics: “Topic” Community Nutrition Computer Applications in Nutrition Management of Food and Nutrition Services Medical Nutrition Therapy Independent Study in Food and Nutrition Internship in Food and Nutrition (second internship) Intro. To Human Biology Human Anatomy and Physiology I Principles of Microbiology General Chemistry Principles of Chemistry Principles of Chemistry and Quantitative Analysis Organic Chemistry Organic Chemistry I Biochemistry Personal and Community Health Consumer Economics Drug Addiction Professional Writing 3 13. Using the chart below rate the population groups with which you would most like to work and the settings in which you would like to work. Indicate your first, second, and third choices for both population groups and settings by placing 1, 2, or 3 in each ranking column. Populations General population Adults Ranking 1-3 Pregnant or lactating women Adolescents School age children Infants and young children Geriatric population Rehabilitation program Social networking Other, please specify 14. Ranking 1-3 In the chart below place an X in front of the skills you would like to develop or improve. Client / patient counseling Clinical nutrition (completed MNT) Staff or professional training Event planning Educational program development Nutrition education Other, please specify 15. Setting Hospital or HMO outpatient service Hospital or inpatient services (completed MNT) Elder nutrition program Extended care facility WIC Child care agency Cooperative Extension Services Business or industry foodservice School nutrition service Food company John Stalker Institute Fitness facility ( PT certificate required) Farms Catering Other, please specify Speaking to groups Management skills Food service operation Food research and development Social media Writing List your major strengths: 1. 2. 3. NUTR 495 Internship in Food and Nutrition & NUTR 499 Internship in Food and Nutrition NSRDEC (Natick Labs) have required steps for the internship placement process, read Overview for NUTR 495 & 499 in the Food and Nutrition Handbook. 16. Please provide any additional information which might be helpful in placing you.