ESA-USGS Cooperative Summer Internship Program Nomination If you have any questions, please contact: careers@esa.org Nominations for ESA/USGS Cooperative Field Internships Thank you for your support for the ESA-USGS Cooperative Summer Internship Program. We appreciate your taking the time to nominate your student/s. You may nominate up to two students who participated in your field course/program. Both students should have completed the SAME course or program. Your course/program will be added to a directory of field course and programs with your consent and will be a resource to students looking for outstanding field programs. Your Contact Information Prefix Dr.Mr.Mrs.Ms.MissMx. First Name * Last Name * Position * Organization/University Address * Organization/University Address Organization/Institution Organization/Institution Department Department City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Address * Information about Student Nominee Student First Name * Student Last Name * Student Email Address * Kindly ensure accuracy of email Student Current Class Standing * Freshman Sophomore Junior Senior Student Current Institution * In about 200 words, please describe the reasons for your nomination * Your recommendation is vital for the ESA-USGS cooperative internship. Please include the students' accomplishments, ability to learn or adapt to new situations, strengths in field experience, leadership potential and how this experience might be transformative. Do you have another student to nominate who took the same field course or field program?? * YesNo Student 2 First Name Student 2 Last Name Student 2 Email Address Kindly ensure accuracy of email Student 2 Current Class Standing Freshman Sophomore Junior Senior Student 2 Current Institution In about 200 words, please describe the reasons for your nomination of Student 2 Your recommendation is vital for the ESA-USGS cooperative internship. Please include the students' accomplishments, ability to learn or adapt to new situations, strengths in field experience, leadership potential and how this experience might be transformative. On the next page, you will be asked to submit information about the field course or program your nominee/s completed within the last six months. The information you provide about your field course or program will also allow ESA to list your program in our field directory. Even if you have previously nominated a student and submitted this information, kindly resubmit so we have the most up to date information. Thank you. If you are human, leave this field blank. Δ