Eye to the Future: Developing the Next Generation of Childhood Obesity Prevention Educators Application

Application Form
Applicant Contact and Demographic information
Last Name  
First Name  
Address  
City  
State  
Zip Code  
Phone     (Phone format 713-743-XXXX)
E-mail  
Best time to contact  
Gender   Female     Male
Applying for   Summer in year  
 
Applicant Education
Current Institution   UH - Main Campus   UH - Downtown   HCC
College  
Department  
Current Overall GPA  
Current Academic Standing   Freshman   Sophomore   Junior   Senior
Expected Graduation Date   Spring 2021   Summer 2021   Other
Certification(s)  
Award(s)  
 
Skills
Language Skills
Do you speak Spanish?   Yes   No    If yes, mark fluency:   Advanced   Intermediate   Beginner
Do you write in Spanish?   Yes   No    If yes, mark fluency:   Advanced   Intermediate   Beginner
Computer Skills/Software Proficiency (Excel, PowerPoint, Word, SPSSX, Photoshop, Adobe, etc.)
What basic computer skills do you have?  
What advanced computer skills do you have?  
Hobbies/Interests/Talents
What are some of your hobbies/interests/talents related to the promotion of healthy eating and exercise (e.g., cooking, trying new recipes, playing soccer)?  
Other Talents (e.g., photography, social media, digital graphics)  
 
Previous Experience (Experience is not necessary, but it is helpful for us to know, so we can adjust our professional training.)
Do you have previous experience working with or teaching children ages 9-14? If so, when and where?  
 
Parent's Education
What is the highest level of education completed by your mother figure?
   No High School
   Some High School
   High School / GED
   Some College
   Bachelor's Degree
   Master's Degree
   Advanced Graduate work or Ph.D
   Not Sure
What is your mother figure's occupation?
What is the highest level of education completed by your father figure?
   No High School
   Some High School
   High School / GED
   Some College
   Bachelor's Degree
   Master's Degree
   Advanced Graduate work or Ph.D
   Not Sure
What is your father figure's occupation?
 
Will you be the first generation to graduate from college in your immediate family?   Yes   No
 
Do you self-identify as Hispanic?   Yes   No
 
Can you commit to working 10-14 hours per week during the 15-20 week internship (Summer - Fall 2021)?   Yes   No
 
Document Submission
Resume, unofficial transcript, and essay must be submitted in one PDF document. For more details, please review the flyer at Eye to the Future flyer.

Write a 800-word essay that answers the following:
  • Explain your reason for wanting to participate in this program. Why do you think you are a good candidate?
  • List 3 challenges you expect to encounter in this internship. How would you resolve them?
  • Explain how you would apply some of your current skills into this internship.
File Upload  
 
Reference Contact Information
Submit the name, email, and phone number of two professional references (professor, supervisor, etc.).
Reference #1
Name   Email   Phone (Phone format: 713-XXX-XXXX)
Reference #2
Name   Email   Phone (Phone format: 713-XXX-XXXX)
 
Agreement and Signature
I affirm that the facts set forth in this application are true and complete. I understand that any false statements or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (printed)  
Date  
 

Enter Text (not case sensitive):

Click SUBMIT to finish.