AccessSTEM Team Application
Are you a high school or college student with a disability?
Would you like to gain valuable experience through paid internships and other work-related opportunities?
Are you interested in the fields of science, technology, engineering, or mathematics?
Would you like to communicate with mentors working in these fields?
If so, then apply now to become a member of our AccessSTEM Team!
DO-IT (Disabilities, Opportunities, Internetworking, and Technology) at the University of Washington supports college-capable students with disabilities as they pursue challenging academic programs and careers. DO-IT's Alliance for Students with Disabilities in Science, Technology, Engineering, and Mathematics (AccessSTEM) is a project funded by the National Science Foundation (award #HRD-0227995 and #HRD-0833504). The purpose of the project is to increase the number of people with disabilities in science, technology, engineering, and mathematics (STEM) careers by encouraging and supporting students with disabilities who show interest and aptitude in STEM. These students become part of the AccessSTEM Team, engaging in an on-line community of peers and professionals, paid internships, other work experiences, research opportunities, and other activities as they transition to college, graduate school, and employment.
We are recruiting high school and college students with disabilities to join the AccessSTEM Team. As an AccessSTEM Team member, you will engage in experiences that will enhance your college and career success.
AccessSTEM Team Eligibility
High school or college students with disabilities are eligible to be AccessSTEM Team members. Priority is given to students who demonstrate an interest and aptitude in pursuing professional careers in science, technology, engineering, or mathematics fields. AccessSTEM Team members must have an email account and access to the Internet.
As a member of the AccessSTEM Team, you must actively communicate with AccessSTEM staff, peers, and mentors. To remain on the AccessSTEM Team and to be eligible for work-related opportunities, such as internships, you must be an "active participant." As an "active participant," you are expected to:
- Log on to your email account at least once per week and read and respond to email messages.
- Regularly communicate with your AccessSTEM mentoring group.
- Attend AccessSTEM events when possible.
- Notify AccessSTEM staff of any changes in your contact information, or your ability to participate in AccessSTEM internships and activities.
Please contact DO-IT if you would like assistance in completing any portion of your application.
- APPLICATION FORM
Complete the attached two-page AccessSTEM Team application form. This form must include a parent or guardian signature if you are under eighteen years of age.
Submit a paragraph or two with your application explaining why you are interested in participating in an AccessSTEM internship and mentoring and how participation will help you reach your career goals. Include school honors, extracurricular and community activities, work-related experiences, and any other relevant information about yourself.
Submit one letter of recommendation from a teacher, faculty member, or someone who has worked with you closely or provide the name and contact information of a person that can provide a reference for you.
Submit an up-to-date copy of your resume.
Submitting AccessSTEM Team Applications
Applications are accepted on an ongoing basis. The AccessSTEM Team application packet may be submitted via postal mail, fax, or email to the address below.
AccessSTEM Team Application Form
First name: _______________________
Last name: ________________________
Email address: _________________________
Name and address of parent/guardian:
(if under 18)
Parent email (if under 18): ______________________
Parent phone (if under 18): ______________________
Date of birth: ___________
Ethnicity (select one):
___ Hispanic or Latino
___ Not Hispanic or Latino
Race (select one or more):
___ American Indian/Alaska Native
___ Black or African American
___ Native Hawaiian/Pacific Islander
Veteran or military service:
Describe any accommodations that you may need to
participate in an internship:
How did you hear about AccessSTEM?
___ Opportunities! Newsletter
___ other publication
___ email announcement
___ friend (name) ________________________
___ other (name) ________________________
Currently enrolled in:
____ High school
____ Community college
____ Tech college
____ Four-year university/college
School name: _________________________________
Anticipated graduation date: _________________
Major(s) (if applicable): ____________________
Current GPA: ____________________
Specific career interests: ___________________
Citizenship (select one):
____ U.S. citizen
____ Permanent resident ("green card")
____ U.S. national (born in American Samoa/Swains Island
or descendant of U.S. national)
If not a U.S. citizen, do you have a right-to-work permit?
____ Yes ____ No
Where are you able to work in an internship
or other work-related experience?
Please note that, on occasion, AccessSTEM Team members are featured in DO-IT printed and web-based materials such as DO-IT News. As an AccessSTEM Team member, you agree to allow DO-IT and DO-IT project partners to publish information including, but not limited to, your first name, city and state of residence, name of school, employer, disability, and interests. This information may be used for program reporting and data analysis. As an AccessSTEM Team member, you also waive any right to inspect or approve the finished publication or the eventual use for which it might be applied. Although we will work with AccessSTEM members to plan and initiate disclosure of their disabilities to potential employers, schools, or other organizations in conjunction with AccessSTEM activities, your disability may be disclosed or implied.
Use of Photographs and Video
Some AccessSTEM events and work-related experiences are photographed and/or videotaped. When you participate in these activities you may be photographed and/or videotaped. As an AccessSTEM Team member, you agree to give DO-IT and DO-IT project partners permission to copyright, distribute, sell, broadcast, duplicate, exhibit and/or use film, photographs, and/or printed information without limitation for general education, information dissemination, and research purposes in videos, printed publications, and the Internet. In addition, you waive any right to inspect or approve the finished publication or other product in which your image/information might be used. Check here if you do not give permission to be included in pictures or videos.
I have read and agree to the expectations listed in the Participation Agreement, Publication Guidelines, and the Use of Photographs and Videotape guidelines as indicated above.
I understand DO-IT may request a criminal background check of program participants. I agree to report any past convictions to DO-IT at the time of application. Further, I agree to report to DO-IT any future charge or conviction at the time it occurs.
Signature of AccessSTEM Team applicant
Printed Name of applicant
For Applicants Under the Age of 18 Years
I give permission for my son/daughter to participate in AccessSTEM activities and events. I have read and agree to the above conditions, including the Participation Agreement expectations, Publication guidelines, and the Use of Photographs and Video guidelines as indicated above.
Signature of Parent/Guardian
Printed Name of Parent/Guardian
If you have questions about AccessSTEM or this application, please contact DO-IT at
206-685-DOIT (3648) — voice/TTY
888-972-DOIT (3648) — toll free voice/TTY,
206-221-4171 — FAX
Mail, fax, or email your completed application to
University of Washington
Seattle, WA 98195-4842