Você está na página 1de 4

NEW YORK STATE SENATE

UNDERGRADUATE SESSION
ASSISTANTS PROGRAM2017

Sponsored by the New York State Senate since 1978

APPLICATION

Student Statement in Regard to Preparations and Understandings


nIhavereadtheattachedinformationinitsentiretyandIunderstandtheprogramisnotfinancialaidfor
on-campus study.
nIunderstandthatifIamselected:
Imustbeabletopresentoriginal documentation verifying my United States citizenship in order to
beenrolled;
homecampusfacultyareresponsibleforacademicplanning/tracking/evaluationofstudentenrollees;
theOfficeofStudentProgramswillcontactselectedcandidatesbyphonetoconductaninitialinformationexchange.Studentswillbeaffordedtheopportunitytoaskquestionsrelatingtoprogram
expectationsandactivitiesduringthistime;
participation in orientation, all aspects of the experiential program and placement, is expected of
eachenrollee;
the on-site program at the New York State Senate in Albany includes a minimum 35 hours
per week that may be extended from time to time during the legislative session or as a
matterofthedailyroutineintheofficeofmyindividualplacement;
SessionAssistantsarerequiredtoworkaminimumof35hoursperweekor70hoursperbiweekly
payperiod.Duetothenatureoflegislativework,longerhoursmaysometimesbenecessaryandare
tobeexpectedduringsomeportionsoftheUndergraduateSessionAssistantsProgram.Additionally,
SessionAssistantsmustworkthroughthelastscheduleddateofthePrograminordertoreceivethe
fullandtimelypaymentoftheirfinalbiweeklystipendcheck;
unreadinessinanymatteriscausefordismissal;
applicationmaterialssubmittedbecomepartofaconfidentialfile[PublicLaw93-380,Sec.438(a)
(1)(B)]tobecopiedfordispatchduringthescreeningandselectionprocesses,forplacementand
periodicreviewifIamselected;
the file may become a resource if I am considered for further education or employment
duringoraftertheconclusionoftheprogram;
allmaterialsfurnishedbymeareoriginalwhererequiredandtheinformationaccurateandtruetothe
bestofmyknowledge;and
Iamexpectedandagreetomeetallobligationsoftheprogram.
Signature of Student:___________________________________ Date: __________________

PleasesubmitthisapplicationincoordinationwithyourCampusLiaisonOfficer(CLO).
IfthereisnoCLOoncampuspleasewrite,call,faxoremail:
Nicholas J. Parrella, M.A., Director
NYS Senate Office of Student Programs
Mailing Address: Legislative Office Building, # 1426, Albany, NY 12247
Location: AESOB, 80 South Swan Street, Suite 1426, Albany, NY 12247
Tel: 518-455-2611 FAX: 518-426-6827 E-mail: students@nysenate.gov
www.nysenate.gov/student-programs
i

Undergraduate Session Assistant Internship


Application Instructions
1.

carefully read the descriptive Brochure and Application.

2.

if you have a campus Liaison Officer (cLO) at your college or university who coordinates
applications for this program, you must contact them for further instruction before you
apply.

3.

contact your cLO, Academic Advisor, department chair, dean or other duly authorized
campus personnel to determine: the requirements for off-campus study; if you are eligible
to participate in such a program; the amount of credit you may receive for such participation;
and the identity of your on-campus evaluator.

4.

Visit http://www.nysenate.gov/student-programs to complete the official application.

5.

request confidential official transcripts of all collegiate level work. These should be sent
directly to your cLO/advisor (or to the Student Programs Office, if necessary). request
these early.

6.

include a one-page resume.

7.

List in order of preference the three legislative policy areas you prefer for placement.
Refer to the policy list on page iv.

8.

request three confidential letters of reference from persons familiar with your academic
abilities and professional aptitude. These should be sent to your CLO/advisor (or Senate
Student Programs).

9.

Attach the required writing samples: a) an original recent paper or essay, which should
be titled, double-spaced and limited to 6 to 8 pages; and b) two one-page, single-spaced
memoranda:
a policy proposal: this can be either enacted or proposed legislation. Describe the
problem you are trying to solve, what your proposal would do, and the expected
outcome; and
a rebuttal of the proposal: Why wouldn't the proposal create the expected outcomes?
What are the unintended consequences? What are the costs versus the benefits?

10. include a Statement of Purpose explaining why you are applying for the assistantship
(single-spaced and confined to one page only).
11. Submit completed Faculty certification of Endorsement and coursework-in-Progress form
certifying your current coursework.
12. campus Liaison Officers: E-mail (students@nysenate.gov) or use certified
mail/return receipt requested when mailing application materials to the Senate
to protect the interests of the applicant(s) should mail be delayed or lost.
*Be certain to use the mailing address, not building location.*
ii

New York State Senate

UNDERGRADUATE SESSION ASSISTANTS PROGRAM

Useonlythe official application,hereoronline.Type or print legibly! Incomplete,illegibleorinappropriatelycompleted


applicationsmaynotbeconsidered.Applicationmaterialsarenotreturnable.Applicationsshouldbecompleteuponreceipt,
includingallsignatures,andshouldbeinthehandsoftheDirectorofStudentProgramsbytheapplication deadline, the
last Friday in October.(theremaybeanearlieron-campusdeadline.)QuestionsshouldbedirectedtotheCampusLiaison
Officerfirst.IfaCLOisunavailabletoyou,redirectyourquestionstotheDirectorofStudentPrograms.Applicationsshould
besentCertified Mail/Return Receipt Requested (orexpressmail)toNicholas J. Parrella, M.A., Director, NYS Senate
Office of Student Programs, Mailing Address: Legislative Office Building, #1426, Albany, NY 12247.
q NAME:

(Last)

(First)

(mI)

q YOUr cAMPUS rESidENcE:


(Street&No./Bldg./Apt.)

(State)

(City)

(Zip)

& ()

q CAMPUS TELEPHONE(S): ()
q YOUR PERMANENT ADDRESS:
(Street&No./Bldg./Apt.)

q HOME TELEPHONE(S): (

(State)

(City)

q SiGN STUdENT STATEMENT

(Zip)

& ()

q iF YOU VOTE,GiveCity&State

q E-MAiL AddrESS:
q EdUcATiON: Listallcollegesanduniversitiesyouhaveattended;beginwiththemostrecentandworkbackintime.requestallofficial transcripts
tobesenttoyourCLO. complete the statement of coursework-in-progress, signed/certified by a campus official.
NameofInstitution
(Beginwithmostrecent)

1.

Date of
Attendance

major/
minor

to

Current
DegreeGoal

Date of
Graduation

OverallGPA
(4.0Scale)

to

2.

to

3.

to

4.

Yourapplicationisnotcompletewithouttherequiredtranscriptsandallspecifiedcertifications.

q rEqUEST ALL TrANScriPTS

q rEqUEST ANd iNcLUdE rEqUirEd cErTiFicATiONS

q SPEciAL SKiLLS: Selectivelylistyourmostpertinentskill(s),talent(s),interest(s),achievement(s),honor(s),andemploymentinthisspace.

Do notwrite"seeresume". ________________________________________________________________________________________________

q RESUME:Includearesumewithyourapplicationonepageonly.
q PrEFErrEd POLicY ArEAS:Seeoverside.Listinorderofpreference(1beingthefirst)thosetopicalareasofmostinteresttoyou.
1.
2.
3.
q cONFidENTiAL rEFErENcES:Askthatthree confidential lettersofreferencebesentdirectlytoyourCLO.
NAme
Position/titleInstitutionDirecttelephoneNumber
(
)
1.

2.

()

3.
q ESSAY: Submitoriginalrecentworkonly,double-spaced,limitedto6to8pages.

n GiVE TiTLE OF ESSAY: _____________________________________________________________________________

q TWO MEMORANDA: 1)Apolicyproposal.2)Arebuttal.(eachonepageonly,single-spaced).


q STATEMENT OF PURPOSE: Discussyourpurposeinapplying,limitedtoonesideofan81/2x11sheet,single-spaced.
continue to other side

iii

Senate Standing
Committees:

Topical and Policy Areas


nAging
nAgriculture
nAlcoholism&DrugAbuse
nBanks
nChildrenandFamilies
nCities
nCivilServiceandPensions
nCodes
nCommerce,economicDevelopmentandSmallBusiness
nConsumerProtection
nCorporations,AuthoritiesandCommissions
nCrimeVictims,CrimeandCorrection
nCulturalAffairs,tourism,Parksandrecreation
neducation
nelections
nenergyandtelecommunications
nenvironmentalConservation
nethics
n Finance
nHealth
nHighereducation
nHousing,ConstructionandCommunityDevelopment
n Insurance
nInvestigationsandGovernmentOperations
n Judiciary
nLabor
nLocalGovernment
nmentalHealthandDevelopmentalDisabilities
nracing,GamingandWagering
nSocialServices
ntransportation
nVeterans,HomelandSecurityandmilitaryAffairs

Appropriate Original Documents


Suitable and Acceptable for
Employment Eligibility Verification of
United States Citizenship are Required
UnderNewYorkStateSenateguidelinescoordinatingwith
U.S.CitizenshipandImmigrationServicesstandards,those
selectedtobeSessionAssistantsshallberequiredtoconfirmtheirUnitedStatescitizenshipbeforeenrollment(see
title8,UnitedStatesCode,Sec.1324A).
thefollowingoriginal documentsqualifyasindependent
orstand-aloneformsofverification:
List A: nAUnitedStatesPassport,nACertificateofUnited
StatesCitizenship,ornACertificateofNaturalization.
Alternatively, inter-dependentformsofidentificationthat
satisfyrulesofverificationmaybeassembledthatis,
matchedonefromeach ofthefollowingtwolists:
List B: nAcurrentNew York State driverslicenseor NYS
DmVnon-driverID with photograph,ornAUnitedStates
militaryCard.
List C: nAnoriginal SocialSecurityCardotherthan
acardstatingitisnotvalidforidentificationornotvalidfor
employmentornACertificateofBirthissuedbyastate,
county,ormunicipalauthorityand bearingcertification.
If you have a special situation or set of circumstances,
discussitwithyourCLOortheOfficeofStudentPrograms
NOW. Ifyouareselected,youmustbeabletopresentthe
necessaryandappropriateidentificationatthetimeofenrollmentoryouwillnot beallowedtojointheprogramandyou
maybeseparatedfromtheprogramforcauseatanytime.

Faculty Certification of Endorsement and Coursework-in-Progress

n I am the on-campus Advisor-of-Recordoftheapplicantandamemberofthecollegefaculty/administrationwithauthorityto


certifythattheapplicantwasenrolledfull-timethroughouttheimmediatelypreviousspringsemester,isenrolledfull-timeduring
thecurrentfallsemester,andhastheendorsementofthefacultyofthiscollege/universitytoapplyforand,ifselected,toenroll
andearnon-campuscreditforparticipationintheUndergraduateSessionAssistantsProgramunderthestandardsandrulesof
thiscollege,andSenateguidelines.
nIhavereviewedtheacademicrecordanddeterminedthattheapplicantiscurrentlyenrolledinandmakingsatisfactoryprogress
towardcompletionofeachofthefollowingcourses:
CODe/NO.
1. ______________

Coursework-in-Progress
NAme
_______________________________________________________________

CreDIt
____________________

3. ______________

_______________________________________________________________

____________________

2. ______________

4. ______________

5. ______________
6. ______________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________
_______________________________________________________________

____________________

____________________

____________________
____________________

nIcertifythatIhaveestablishedthatalltheaboveistrueandaccurateandthattheapplicanthastheendorsementofthiscollege
asanablestudentsuitableformatureoff-campusexperientialparticipationintheSenateprogram;andthatIunderstandacademic
planning,tracking,andevaluationoftheapplicantaretheresponsibilitiesoffacultyand/oradministrationofthiscollege.
________________________________________________________
typednameofAuthorizedCampusOfficial

____________________________________________________________
Signature:AuthorizedOfficial

Department: ________________________________________

title: _________________________________________________

email:_____________________________________________

FAX: _________________________________________________

College: ___________________________________________

tel.: _________________________________________________

iv

PRI NTED ON RECYCLED PAP ER

Você também pode gostar