CC-CREW Program Application 1Personal Information2Voluntary Self-IDs3Academic Information4Statement of Interest5References6Review and Submit Learn more about the Community College Research Experience at WHOI (CC-CREW) opportunity here.Name* First Last Current Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Current same as Permanent Address?Check this box if your Current Mailing Address and Permanent Mailing Address are the same. Yes, they're the same Permanent Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Enter Email Confirm Email Phone* Voluntary Self-IdentificationsPlease check all choices that correspond to the group(s) of which you consider yourself a member. This information is optional. Thank you in advance for your cooperation.Referral SourceHow did you hear about this program? Advertisement Publication Walk-In WHOI Friend/Relative WHOI Website Other Referral Source: OtherPlease use this for any additional information you wish to provide. Legal Sex(for Statistical Purposes) Female Male I prefer not to answer Gender(Check all that apply.) Female Male Transgender Other I prefer not to answer Gender Additional InformationPlease use this for any additional information you wish to provide. Date of Birth Month Day Year Citizenship US Citizen or Permanent Resident Definitions of Federal Government Classifications for Ethnicity, Disability, and VeteransEthnicity(Definitions) American Indian or Alaska Native (not Hispanic or Latino) Asian (not Hispanic or Latino) Black or African American (not Hispanic or Latino) Hispanic or Latino Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) White (not Hispanic or Latino) I prefer not to answer Disability(Definitions) Yes, I have a disability (or previously had a disability) No, I don't have a disability I prefer not to answer Veteran Yes, I am a Veteran No, I am not a Veteran I prefer not to answer Veteran StatusI belong to the following classifications of protected Veterans (Definitions). Please choose all that apply. Veteran with a Disability Recently Separated Veteran Active Wartime or Campaign Badge Veteran Armed Forces Service Medal Veteran I prefer not to answer Additional Background Information First generation to attend college Low Income No, I am not first generation to attend college or Low Income Academic InformationHigh School Information*NameCityStateGraduation Date (mm-yyyy)Community College*At which Community College are you currently enrolled? Class at Community College*FreshmanSophomoreExpected Graduation Date*Please enter the month and year of expected graduation. (Format mm/yyyy) Current Major (if declared) Degree*Select the degree you are working towards AA AS Career Goals*What are your career goals? List some of the careers you currently are considering (e.g. university based research/teaching, a health profession, veterinary science, work in industry, work in government, education). Overall GPA* All College-level STEM Classes Taken*Include college-level STEM classes taken at your current or previous Community College or College.ClassSemester TakenFinal GradeCollege Current STEM ClassesWhat STEM classes do you intend to complete this semester?ClassSemesterCollege Current College TranscriptPlease upload a copy of your current college transcript. If you do not have one available, please email a copy to Gretta Serres (mserres@whoi.edu). An unofficial transcript can be used for the applicationAccepted file types: pdf, Max. file size: 50 MB.Or... Email the unofficial transcriptIf not uploading your transcript, please indicate that you will email the transcript to mserres@whoi.edu I will email my unofficial transcript to mserres@whoi.edu Statement of InterestThis section includes questions where you have the opportunity to tell us about yourself. We want to know what hopes you have for your education and career, how this research experience will help you explore STEM and reach your goals, and whether you have been involved in leadership activities (community, school) or have had previous work or research experiences. Take your time to answer the questions below. We recommend that you write your answers out and edit them before submitting. There is a 250 word limit per question (approximately 5-10 sentences depending on their length).Reason for applying*Which of the following best describes your reason for applying? Personal Interest Suggestion of your advisor To help you identify career possibilities To help you explore a new topic in STEM STEM Courses Statement*Which of your STEM courses have you particularly enjoyed, explain why?Goals*What are your education and career goals?CC-CREW Participation*Why do you want to participate in this research experience?Previous experiences*Please list previous jobs, internships, community or school leadership activities, and/or research experience. Give a short description of your duties and what skills you gained. ReferencesTwo referrals should be provided, at least one from a CC instructor or an advisor. The second can be from a job supervisor or another instructor. Contact your letter writers early. Letters of reference should be sent by: Email (preferred) to mserres@whoi.edu (Heading/Subject: Confidential – CC-CREW reference letter) Snail Mail (if email is not available) Gretta Serres Coordinator of CC-CREW at WHOI Marine Chemistry and Geochemistry Department WHOI 266 Woods Hole Road, MS 51 Woods Hole, MA 02543 My References (2 names required)*Please provide the names and email addresses of two persons you have asked to write reference letters for you.Reference NameReference Email Below is a sample format you can use for emailing your letter writer: Dear (name of Instructor/Supervisor), Thank you for agreeing to write me a recommendation for the CC-CREW 2023 summer program. CC-CREW and its goals are described at this website: https://www2.whoi.edu/staff/jhuber/cc-crew Please answer the following questions in your letter. In what capacity do you know this student? How would this student benefit from the CC-CREW research experience? What qualities and characteristics would this student bring to our program? How do you feel the CC-CREW experience will impact their career path? Send your referral as an email to mserres@whoi.edu with the heading/subject line: Confidential – CC-CREW reference letter. Alternatively, send by regular email to: Gretta Serres, Coordinator of CC-CREW at WHOI, Marine Chemistry and Geochemistry Department, MS 51, 266 Woods Hole Road, Woods Hole, MA 02543 The letters are due by March 24, 2023. Thanks again, Signed: (Internship applicant) Please review your submission before clicking 'Submit' below. {all_fields}CommentsThis field is for validation purposes and should be left unchanged.