Pacific Internship Programs for Exploring Science (PIPES)

PIPES Online Application

Be sure to submit additional documents to:
Email: uhintern@hawaii.edu
Mail: PIPES, University of Hawai'i at Hilo, 200 W. Kāwili St. , Hilo, HI, 96720
Fax: (808) 932-7940

Program Interest:

Check all that apply.




How did you hear about our program: (Check all that apply.)











( )

Personal and Contact Information:



(This is the physical address that we will use to mail any correspondence. Please be sure to have access to this address.)


Important note: This program relies heavily on email correspondence.

MM/DD/YYYY

I identify as:

Pronouns:


( )

Citizenship and Residency:

Citizenship:

( )

Born in Hawaiʻi:

Hawaiʻi Residency: , for

Ethnicity and Race (optional):

This information is optional. Check all that apply.



Please indicate all ethnicities you identify with:













Does your Filipino heritage include Hispanic ancestry?


Please indicate nationality you identify with:





Please indicate all nationalities you identify with:















Academic Information:

Describe your current academic institution.





MM/DD/YYYY

Current Class Standing:




Program Dates:

Do you have any summer plans that would interfere with a 10-week internship starting from June 1 - August 7, 2020?

Interests:

Areas of interest (check top 5):



















Parental Education:

Please select the highest level of education completed.

Parent One:




Parent Two:




Medical Information:

Do you have any health conditions that may interfere with performing an internship requiring outdoor/physical activities (e.g., allergies or physical limitations)?

Do you have medical/health insurance?

Verification of Honesty and Truth:

By typing my last name here, I certify that all of the statements and information provided in my application materials are true to the best of my knowledge.

Permission to Contact Instructors and Advisors:

By typing my last name here, I give the PIPES Office permission to contact my current or past instructors, advisors, and employers in regards to my performance in past/on-going related coursework/employment and my current academic standing within my institution.

Additional Documents

Don’t forget to submit the additional documents as requested on the application instructions page.