2022 CAPAL Public Service Scholarship and Internship Application

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Home State 🛈

Country *

Email Address *

Phone Number *

Which programs are you applying to?

Please select all that apply. *

Public Service Internship

Public Service Scholarship

If applying to multiple programs, please rank them in order of preference below. Note: If you would like to change your ranking after submitting the application, please email hannah.park@capal.org by no later than February 15.

1=First preference
2=Second preference

	Public Service Internship
	Public Service Scholarship

If you are applying for the Public Service Internship Program, are you currently part of a program where you will receive funding for an unpaid public service internship?

CAPAL provides a $3000 stipend for all students, however in the case that the student is receiving funding for their internship from another source, CAPAL can match the student at a partner organization, supported by the student's external source of funding in lieu of the CAPAL-issued stipend.

Yes

No

Have you applied for the CAPAL program before? *

Yes

No

Are you currently enrolled as a graduate or undergraduate student?

You must be enrolled as a graduate or undergraduate student to apply. *

Yes

No

Are you applying for the Midwest Asian American Students Union (MAASU) Scholarship?

Your school must be a MAASU member school for you to apply. Check if your school qualifies here. *

Yes

No

If you are applying for the Public Service Scholarship and have not secured an internship, please elaborate on the internship(s) for which you are applying and your current status in those applications.

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If selected for any of the above programs, would you be able to attend Orientation on Saturday, June 4? *

Yes

No

Maybe

If you are unable to commit on the start date of June 4, please explain the relevant circumstances.

Please keep your explanation to 150 words or less.

0/150 characters

All students, in addition to their internship, are required to participate in CAPAL's programming including: Washington Leadership Program series, mentoring, cohort sessions, Community Action Project, professional development workshops, and roundtables. Upon acceptance into CAPAL's program, will you be able to participate in CAPAL's programming?

A previous program schedule can be found here. *

Yes

No

In the circumstance that you will be working virtually, will you have access to a reliable Internet connection on a computer or laptop? *

Yes

No

***Due to the extraordinary circumstances related to COVID-19, CAPAL is actively monitoring ongoing developments in the community. We will provide updates to applicants related to internship placements and programming as necessary. Please contact hannah.park@capal.org for any further inquiries.***

Education

Degree Pursued *

Academic Year

Freshman

Sophomore

Junior

Senior

Program or Major

Please separate multiple majors with commas. You do not need to specify minors or concentrations.
*

Do you currently attend a member school of the Midwest Asian American Students Union?

Check if your school is a MAASU member organization here.

Yes

No

Leadership

Please list up to three Leadership Experiences you have with brief descriptions of work accomplished. Note: Three experiences is the maximum, but not required. Please list as many (1-3) that are applicable. Separate each experience with a number (see example below)

Please provide the dates of engagement (ex: August 2019 - May 2020). List work accomplished in bullet points.

EXAMPLE WITH CORRECT FORMATTING:

1) Program and Operations Associate, CAPAL
June 2018 - Present
• Sentence describing your role and the organization
• Example of work you completed
• Example of work you completed

Leadership Experience

Community Service

Please list up to three Community Service Experiences you have with brief descriptions of work accomplished. Note: Three experiences is the maximum, but not required. Please list as many (1-3) that are applicable. Separate each experience with a number (see example below)

Please provide the dates of engagement (ex: August 2019 - May 2020). List work accomplished in bullet points.

EXAMPLE WITH CORRECT FORMATTING:

1) Team Leader, Branch Out Alternative Breaks
May 2021 - August 2021

• Sentence describing your role and the organization
• Example of service you completed
• Example of service you completed

Community Service Experience

Skills

Your answers in this section do not determine placement in the program, rather your answers assist evaluators in deciding which internships would be best suited as related to select skills you may possess. Please answer honestly.

Languages Outside of English

In bullet-form, please list languages outside of English that you know along with proficiency (novice, proficient, fluent) and aspect of proficiency (speaking, reading, writing, listening) associated with each.

EXAMPLE:

• French - proficient (speaking, reading)

• Tagalog - novice (speaking)

Quantitative Research

Please rank your quantitative research proficiency on a scale of 1-5.

1 - I have no experience performing this work.

2 - I have some coursework/lab experience and/or training.

3 - I have researched and synthesized statistical analyses with a research team, providing senior personnel with planning recommendations.

4 - I have managed a research team, directing statistical analyses and presenting findings to senior personnel.

5 - I am an expert in conducting quantitative research and can adapt my skillset to unfamiliar programs and problems

Please list any statistical programs you are familiar with as indicated by your ranking above. Please use bullet points.

Qualitative Analysis

Please rank your qualitative analysis proficiency on a scale of 1-5.

1 - I have no experience performing this work.

2 - I have some coursework/lab experience and/or training.

3 - I have researched and compiled information, and assisted senior personnel in drafting articles/reports related to analyses.

4 - I have written documents such as conclusions and policy recommendations and/or presented my findings to senior personnel or outside organizations.

5 - I am an expert in conducting qualitative analysis and can adapt my skillset to unfamiliar issues.

Please list any analyses you have conducted as indicated by your ranking above. Please use bullet points.

Graphic Design/Multimedia

Please rank your graphic design/multimedia proficiency on a scale of 1-5.

1 - I have no experience performing this work.

2 - I have some experience creating graphics/platforms with programs such as Canva or Wix.

3 - I have experience using programs such as the Adobe Creative Suite to assist a team in editing creative projects such as magazines, videos, websites.

4 - I have experience using programs such as the Adobe Creative Suite or coding languages to complete independent projects such as magazines, videos, websites.

5 - I am an expert in graphic design/multimedia and can adapt my skillset to unfamiliar programs and platforms.

Please list any media programs you are familiar with as indicated by your ranking above. You may also include links to portfolios or works you have created. Please use bullet points.

OPTIONAL: Additional Skills
Please use this optional section to provide additional information on any other skills or experiences not listed in this application. Please limit your response to 250 words.

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Application Materials

Personal Statement

Public service has a variety of meanings for many people, but a common theme is of service to community. Who do you wish to serve in your career and why, and how would your experience with CAPAL contribute to your goals?

Statement must be 750 words maximum. *

One-page resume *

Current Transcript

Official or Unofficial are accepted *

Letter of Recommendation

Please attach ONE scanned and signed recommendation that addresses your leadership skills, work ethic, or dedication to public service. If your recommender would like to send in your letter separately, please ask them to email it to hannah.park@capal.org with your student name in the subject line. Deadline for letters of recommendation to be emailed is February 17. *

Recommender Name *

Relation to Applicant *

Recommender Contact Information

Email, Phone Number *

Demographic Information

Your responses in this section are completely confidential, and you may withhold any information you believe may compromise your identity by selecting "prefer not to answer". All information collected here will be used to produce summary statistics and will in no way be used to evaluate your candidacy.

Sex *

Female

Male

Prefer Not To Answer

Age in June 2022

Do you qualify for the Pell Grant? *

Yes

No

Prefer Not To Answer

Name of College or University

How did you first hear about CAPAL?

What friend?

What website or blog?

What email/listserv?

What event?

Other

Which ethnicity do you identify as? Please check all that apply or list your ethnicity if not displayed.

Race refers to physical characteristics that may group diverse communities (i.e. Asian, Black, White, etc). Ethnicity refers to cultural factors such as nationality, language, and regional cultures (i.e. Filipino Americans, Ethiopian Americans, Irish Americans, etc). Please respond in terms of your ETHNICITY. *

Emergency Contact Information

First Name *

Last Name *

Relation to Applicant *

Email Address *

Phone Number *

Additional Information

OPTIONAL: Please use this optional section to elaborate on any details of circumstances or additional information not reflected in this application.

Circumstances may include, but are not limited to, unreliable access to technology, personal circumstances, or any other outstanding factors that CAPAL should take into consideration when evalulating your application.

Please keep your explanation to 300 words or less.

0/300 words