Student Experiential Learning Fund (SELF) - Individual Application

The Student Experiential Learning Fund (SELF) is a partnership between the Center for Professional Development and the Dartmouth Center for the Advancement of Learning. The fund is intended to support students in pursuing unpaid or low paying internships, non-Dartmouth research, group projects, conference travel, job shadows, specialized professional or leadership training not offered at Dartmouth, and other opportunities not supported by existing funding sources. The experiential learning opportunity must also closely align with career and/or academic interests. Priority is given to students and groups who have not received funding from another campus resource. We request that applicants seek the most economical options for housing, transportation, etc. Funding application deadlines are the 6th Friday of the term prior to the experience occurring. In order to be considered for funds, applications must be submitted by the following dates for each term:

Friday, May 19th, 2017 for Summer 2017 Experiences
Friday, July 28th, 2017 for Fall 2017 Experiences
Friday, October 20th, 2017 for Winter Intersession (November-December) 2017 and Winter 2018 Experiences
Friday, February 2nd, 2018 for Spring 2018 Experiences
Friday, May 4th, 2018 for Summer 2018 Experiences

In addition to this digital form, a complete application requires the following submissions as attachments:

  1. A resume & unofficial Dartmouth transcript
  2. A supervisor/advisor statement confirming your offer and outlining the responsibilities/goals of the experience

If selected for funding, students are also required to submit the following forms, which will be provided when you are notified of the funding decision:

  1. A signed acknowledgement and risk release
  2. A signed funding contract
  3. An emergency contact form
  4. Completion of the Dartmouth Travel Registry (for international experiences only)

IMPORTANT NOTE: If selected for funding, each student is required to submit a one-page, post-experience report outlining the overall experience, reflecting on what was learned, and describing how the experience correlated with career and academic interests. If receiving funding specifically from a Dartmouth donor, a thank you letter must be written and sent to the respective donor. These document(s) must be submitted no later than two weeks into the term following the experience.

Applicant Information
Check the boxes below to indicate that you meet the eligibility requirements for this fund.
Files must be less than 2 MB.
Allowed file types: rtf pdf doc docx odt.
Files must be less than 2 MB.
Allowed file types: rtf pdf doc docx odt.

Partner Organization/Employer Information
If you are partnering with an organization - employer/internship provider, community/non-profit agency, research group, academic institution, etc. - share as much information as possible in this section.

Supervisor/Advisor Information
Provide the name and contact information for the group’s supervisor or advisor. This can be a Dartmouth faculty/staff member or an external partner.
Attach a supervisor/advisor statement confirming the group experience and outlining the responsibilities/goals of the group.
Files must be less than 2 MB.
Allowed file types: rtf pdf doc docx odt.

Experience Overview
Indicate which term(s) you will be actively engaging in this experience. Select all that apply.
Start/End Dates
Share the specific start and end dates for your experience.
Indicate what type of experiential learning you are pursuing. Select all that apply. If other, define the type of experience.

Funding Overview
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Include program fees, visa fees, registration, supplies, etc.
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Short Answer Questions
Please limit responses to 200 – 250 words for each prompt below.