Mickey Leland Energy Fellowship Program

Application Form

Thank you for your interest in the Mickey Leland Energy Fellowship Program. The information contained in this profile may be shared with interested FE managers seeking interns at their locations.

All positions with the Department of Energy require U.S. citizenship . For consideration your application profile must be submitted by February 20, 2009 . Selections are made on an ongoing basis between September 2008 through March 2009. A DOE representative may contact you directly.

() = Required information

Applicant Information

* First Name:

Middle Initial:

* Last Name:

* Email:

Alternate Email:

* Are you a U.S. Citizen?:		YesNo
		US citizenship is required for MLEF Program

Current Address

* Address:

* City:

* State:

* ZIP Code:

* Phone:

Permanent Address

To help us better communicate with you in the future, you must provide us with your permanent address. Simply select “Same as above” if your permanent address is the same as your current mailing address.

Same as Above

Address:

City:

State:

ZIP Code:

Phone:

Education

* College/University Currently Attending:

* Major:

If "Other" please specify:

* Grade Point Average (GPA):
		Minimum GPA of 3.0 Required

Expected Graduation Date:

* Anticipated Degree:

Other Degree Held:

Additional Information

Have you previously worked in an internship program with the Federal Government?:

YesNo

If yes, briefly describe your assignment, including Agency, Location, Supervisor:


		(Limit 100 words)

How did you hear about the MLEF?:


		(Limit 100 words)

What is your primary reason for applying to the MLEF Internship:


		(Limit 250 words)

What is your area of interest and what type of research interests you?:


		(Limit 250 words)