Q1. Social Justice Summer Grants Shared Application

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1 Q1. Social Justice Summer Grants Shared Application Welcome! Welcome to the shared application process for the Social Justice Summer Grants offered by Hampshire College. With this single application, you will be able to apply for some or all of the grants listed on the Social Justice Summer Grants website.. Please note that there are other grants, not included in this application, for which you may also be elibile. You can find those on the Master List of Hampshire Grants. Application Process: Detailed information about the application process is outlined on the Social Justice Summer Grants website. In order to apply for these grants, you must have ONE internship or Div II/III project in mind for which you are seeking funding. If you would like to seek funding for multiple simultaneous projects/internships, please seek advice on how to proceed. If you are applying for internship funding, you will be asked to submit a letter of support from your internship supervisor. All applicants will be asked to submit a faculty statement of support. Application Deadline: MONDAY, APRIL 4TH, 2016 Application Tips: We strongly suggest that you type your essays in a separate document and paste them into this form. Your partially completed application will be saved if you continue using the same browser, and you have not cleared your cookies or cache, but it is more reliable to complete the entire application at once. You can see the essay questions for each grant by looking at the sample applications on the Social Justice Summer Grants website.. Once you submit your application, you will no longer be able to retrieve it for edits. Q2. Personal and Academic Information Q3. Name as listed in the Hampshire Directory

2 Q4. Name you would like us to use Q5. Preferred Pronouns She/her He/him They/them Other Q6. Hampshire Q7. Phone Q8. Division Div I Div II Div III Other (please eplain) Q9. Name of your academic advisor or committee chair Q10. Your academic advisor or committee chair's

3 Q11. Your epected graduation date Q12. Will you be returning to campus in the fall? Yes Maybe No Q15. Funding Request Snapshot Q16. Are you seeking funding for: An internship A project related to your Division II or III

4 Q17. Please select all the grants from which you are seeking funding. Be sure to check the eligibility requirements to make sure they are a good match for you. Charley Richardson (70F) Award For projects or internships related to labor rights, peace studies, and the effects of war. Up to $1800. CPSC Social Justice Scholars For internships at grassroots non-profit organizations creating social change. Up to $3000. Global Migrations Internship Grant For internships at non-profit, non-governmental organizations that work with refugees, migrant workers, new immigrants, and other displaced persons, and/or are concerned with transnational migration, human rights, citizenship, security, and other social justice issues that arise from the movements of persons across national and cultural boundaries. Up to $1000. Human Rights Fund For projects or internships related to human rights and/or social justice issues. Up to $1000. Lestor J. Mazor Endowed Fund For social justice internships with law-related nonprofit organizations in the U.S.A. or abroad. Up to $2500. Smith-Barr Internship Award For internships with an organization focused on the environment, environmental sustainability, or indigenous communities in either the U.S.A. or the developing world. Up to $2600. Ethics and the Common Good Summer Internship Award Up to $3500 James Baldwin Div II and Div III Internship Grant Grants to assist Division II and III James Baldwin Scholars with the costs of doing an unpaid/underpaid internship that relates directly to the student's academic goals and career interests. Up to $3000. Q18. Are you applying for, or have you already received, any Hampshire grants or funding for this project or internship other than the ones you selected above? (You may select more than one option.) Yes, I am applying for grants other than the ones I selected above. Yes, I have received a grant or other Hampshire funding for this project. No, I have not received or applied for any grants, other than the ones I selected above, for this project or internship.

5 Q21. Have you ever received Hampshire funding for an internship or project before? If yes, please eplain. Q22. Aside from the possibility of grant funding from Hampshire, what other support do you have for your internship or project? Please include personal savings, family contribution, housing, donations and any other support. Q23. Does your internship offer pay or a stipend? Yes No Q25. When you consider all the other kinds of support you may already have, what is the amount of grant funding you need to be fully supported and make the most of your internship or project?* * To calculate the amount of grant funding you need, you may find it helpful to use the epenses form on the sample application (pdf) on the Social Justice Summer Grants website. We will ask about your epenses later in this application, but you will not be able to return to this page to edit the amount you enter below.

6 Q26. Knowing that Hampshire grants are not always enough to fully support student projects or internships, what is the minimum amount of Hampshire funding you need to be able to participate in your internship or work on your project in some way? Q27. Are you receiving Hampshire or Federal Financial Aid? Yes No Q28. Please eplain your situation and how receiving this funding will make a difference to you. ( words) X Q29. Attention! Because this page sets the course for the remainder of your application, once you click "net," you will not be able to return to this page. In the rest of the application, you will be able to move back and forth between pages. Q30. About your Internship Q31. Name of the organization where you will be interning Q32. Organization website

7 Q33. Location of your internship (city, state, country) Q34. Name and title of your internship supervisor Q35. Internship Hours and Epenses For the questions below, please give estimates to the best of your ability. Be as realistic as possible. You may need to do some research to figure out the average travel cost to and from your internship, and the average housing, food, and transportation costs for the area where you will be staying. If there is no cost in one of the areas, please enter $0. Q36. Approimate dates of your internship (mm/dd/yyyy) Start Date 0 End Date Number of Weeks 0 Hours of Work Per Week 0 0 Q37. Estimated Travel Cost Travel to/from Internship Site (one round trip) Eplanation 0 0

8 Q38. Estimated Housing Cost Housing cost per week 0 Number of weeks 0 Total housing cost 0 Eplanation 0 Q39. Estimated Utiliities Cost Utilities cost per week 0 Number of weeks 0 Total utilities cost 0 Eplanation 0 Q40. Estimated On-Site Transportation Cost Transportation cost per week 0 Number of Weeks 0 Total transportation cost 0 Eplanation 0 Q41. Estimated Cost for Food and Personal Necessities Food/Necessities cost per week Number of Weeks 0 Total food/necessities cost 0 Eplanation 0 0

9 Q42. Other Epenses Total other epenses for the summer Eplanation 0 0 Q43. Total Epenses - please carefully add up your totals from above, including travel. Total epenses for your summer internship 0 Q44. Is there anything else you need us to know about your epenses for the summer? Q45. Resume Information In this section, you can either copy and paste your resume into this application, or list your internship, employment, and other eperiences. Which would you prefer? Copy and Paste my Resume List my eperiences

10 Q47. List your eperiences that are related (even somewhat) to your internship. Please list them in order, starting with the most recent.. Include internships, employment, student groups, volunteer eperience, etc. EXAMPLE: Research Assistant,, Voice Male Magazine, Northampton, MA, Summer present Signer,, Gender Resource Network, Hampshire College, Sept May Note: If you copy and paste your resume you will not be required to answer this and the following two questions. Q48. List any other employment you have had. EXAMPLE: Building Monitor,, Robert Crown Center, Hampshire College, Fall present Barrista/Server,, Brooklyn Roasting Company, Brooklyn, NY, Summers Q49. List any other eperiences or awards you would like us to know about. You may also use this space to tell us anything else you would like us to know about your eperience or work history. Q50. Internship Essay Questions Please answer each of the following questions in words.. We recommend that you type your responses into a different document and then paste them here. Do your best to use clear language and be thorough yet concise. You will have the opportunity to edit your responses before you submit your application.

11 Q51. Please eplain your Division II concentration or Div III, and how your summer internship would directly connect with and enhance your academic goals. Be sure to include: 1. A clear and concise eplanation of your Division II or Division III 2. How your summer eperience would directly relate to your academic goals 3. What issues you epect to grapple with in your internship eperience, what you hope to learn, and how this internship will further an aspect of your Division II or Division III Q53. Describe your specific responsibilities and how you will be supervised during the course of this internship. Q54. What are your career goals (however tentative or general they might be), and what skills and/or knowledge do you epect to gain that will help clarify or move you toward these goals? Q55. Special Essay Questions for the Grants You Selected In the following pages, you will find essay questions for each grant you selected. You can click "net" to page through all the questions before you begin, and then return to the first question. Since you are not able to de-select any of the grants at this point, if you change your mind and decide not to apply for any of them, simply write "Decided not to apply" in the essay bo and continue to the net question.

12 Q56. Essay Question for Charley Richardson (70F) Award Charley Richardson's life work focused on organizing and building the collective voice and power of workers and their unions, especially in relationship to changes in work processes and the organization of work, the impact of new technology, and issues of occupational safety and health. He also sought to amplify the voices for peace among those most impacted by war, including military families, those in the military, veterans, those caught in the cross-fire of war, and others. How does your internship further the ideals and activism of Charley Richardson? Q57. Essay Question for CPSC Social Justice Scholars Please eplain how your proposed internship addresses issues of social change/social justice, both in reference to the work of the organization and your role as an intern. Q58. Ethics and the Common Good Summer Internship Award Please eplain how your internship eplores and/or promotes ethics and the common good. What are the core values that will guide your own actions as you embark on this eperience, and what are the institutional beliefs and/or actions that you wish to eplore? Q59. Global Migrations Internship Grants Please describe how your proposed internship relates to transnational migration, human rights, and/or other social justice issues that arise from the movements of persons across national and cultural boundaries. Be sure to include the names, goals and any pertinent history of the organization and how your internship deals with transnational issues of community service, social justice/social change.

13 Q60. Human Rights Fund Please eplain how your internship directly supports, eamines or raises awareness of human-rights and/or social justice issues as defined in the Universal Declaration of Human Rights. Q61. James Baldwin Grant Div II and Div III Internship Grant Please write a short (200 word) bio. Include your name, a little about your background, what you re studying at Hampshire, career ideas you re considering, other interests that are important to you, etc. Q62. Lester J. Mazer Endowed Fund Please eplain how your internship is social justice oriented and how it relates to some aspect of the law, legal institutions, or legislation. Q63. Smith-Barr Internship Award Please eplain how your internship relates to the environment or indigenous communities in the U.S. or the developing world. If your internship focuses on Native American communities in Alaska, please be sure to include that, as that is a particular interest of one of our donors.

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15 In the table below, please enter all your project epenses. In the left hand colum, enter a description of the epense. In the right hand column enter the dollar amount. In the last row, please carefully total the dollar amount. Eamples of epenses are materials, supplies, travel, housing, food, etc. Please be clear yet frugal in what you include here, as this will show the selection committee why funding is needed for this project. Epense Eample: Snacks for interview participants $40 Dollar Amount TOTAL

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17 Q79. Questions Completed You have completed the question and essay portion of your application. In the net pages, you will find important information on the net steps in the application process. Please make sure to click all the way to the end of the application until you see the SUBMIT button. Your application will only be submitted once you click the SUBMIT button.

18 Q80. Grant Reporting Requirements The opportunity to apply for funding to support your summer internship or project is made possible by Hampshire alumni and friends of the College who, like you, care about social justice and want to make a difference in the world. These donors have chosen to support Hampshire students in their journies to becoming change-makers, because they believe all students should have access to opportunities that will both change the world and change their lives. Part of receiving grant funding, at Hampshire and anywhere else, is the responsiblity to communicate with the donors about how the grant money was used and the difference it made. We help you with this by providing a structure of grant reporting requirements. Because the donors differ, each grant has slightly different requirements. Eamples of reporting requirements are: - Thank-you letter when you receive the grant - Mid-Internship report - Final report or self-reflection - Photo documentation - Thank you letter when you complete the internship - Thank you letter to your internship supervisor We wish you the very best of luck in this grant application process. If you do receive a grant and decide to accept it, please be prepared to complete the reporting requirements asked by your particular grant. I understand that, should I receive a grant and choose to accept it, I will be responsible for some or all of the grant reporting requirements listed above. I understand that I will learn more about my specific reporting requirements upon my acceptance of the grant. Q81. Completing Your Application This form is one part of the application process. In order to complete your application, you will need to submit a statement of support from your internship organization, as well as a faculty statement of support, which are both online forms. These forms, as well as instructions on how to submit them, are on the Summer Social Justice Grants website. I understand that I need to ask my internship supervisor to submit the online organization statement of support,, and it needs to be submitted in order for my application to be complete. I understand that I need to ask a faculty member to submit the online faculty statement of support,, and it needs to be submitted in order for my application to be complete.

19 Q83. Review Your Application On the net page you will see a summary of your responses. You may go back and edit your responses if you wish. From the summary page, once you click submit, you will no longer be able to view or change your responses. Location Data Location: ( , ) Source: GeoIP Estimation

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