EPA's NATIONAL NETWORK FOR
ENVIRONMENTAL MANAGEMENT STUDIES
       FELLOWSHIP PROGRAM
Catalog and Application Guide
            for 2013
   Student Fellowship Program
              EFft
    Visit the EPA Fellowships website at www.epa.gov/fellowships

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       Introduction
                                                                       What's Inside
                                                          How to Apply	3
                                                            Step 1: Determine Your Eligibility
                                                            Step 2: Find a Project
                                                            Step 3: Prepare Application Materials
                                                            Step 4: Submit Your Application
                                                          Evaluation and Selection of NNEMS Fellows	6
                                                          Catalog of 2013 Fellowships	8
                                                          Appendix A-Application Mate rials	14
Background and Purpose

The Environmental Protection Agency (EPA) established the
National Network for Environmental Management Studies
(NNEMS) Fellowship Program in 1986 to foster a growing
interest among higher education students in environmental
careers. The NNEMS program is a comprehensive fellowship
program that provides students an opportunity to participate
in a fellowship project that is directly related to their field of
study. The NNEMS program is sponsored by the EPA Office of
External Affairs and Environmental Education (OEAEE).

The purpose of the NNEMS program is to:
       Provide students with practical research opportunities and experiences in the EPA's program and
       regional offices and in its laboratories;
    •   Increase public awareness of and involvement in environmental issues;
       Encourage qualified individuals to pursue environmental careers; and
       Help defray the costs associated with the pursuit of academic programs related to the field of
       environmental protection, such as pollution control, science, engineering, technology, social science
       and specialty areas.

Students selected for NNEMS fellowships are offered a unique opportunity to gain research and training
experience directly linked to their undergraduate or graduate studies. NNEMS fellows conduct research
projects to augment their academic studies, which the EPA supports with financial assistance.
Fellowships
Under the NNEMS program, a range of fellowship activities are offered to help students increase their
knowledge of environmental issues while refining their professional skills. The projects are specifically
narrow in scope, allowing students to complete the fellowship while working full-time at the EPA during
the summer or part-time during the school year. Typically, the research is conducted at the EPA office,
although other arrangements can be made in certain circumstances.

Detailed descriptions of the fellowships offered this year are provided in the section, Catalog of 2013
Fellowships, which begins on page 8. Each fellowship is sponsored by an EPA project officer who serves as
the main point of contact for the project.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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Compensation
All NNEMS fellowships are awarded directly to the individual students who are selected as fellows. The
awards cannot be made to the educational institution at which the student is enrolled, although a student
may request that the EPA submit payment of a portion of his or her tuition costs directly to the institution.

Students selected for a fellowship receive a grant award in the form of a stipend. The grant is paid in
monthly installments based on the duration of the project Grant awards reflect an individual student's
level of education, as well as the location and duration of the fellowship. Even though students selected to
receive NNEMS fellowships are grantees and not federal employees, the formula for the appropriate
stipend amount is based on the current General Schedule (GS)-04 through GS-09 federal pay scale, and
includes standard government locality rates. Freshmen students, for example, will be paid at the GS-04
rate; advanced graduate students at the GS-09 rate.

There is no matching or cost sharing required of students awarded NNEMS fellowships.


Disclaimer

The EPA reserves the right to reject all applications for NNEMS fellowships and to make no awards or make
fewer awards than anticipated. The EPA also reserves the right to make additional awards under this
announcement consistent with Agency policy, if additional funding becomes available. Any additional
selections for awards will be made no later than August 2013.


For Additional Information

Please contact:

       Ms. Ginger Potter
       NNEMS Program
       Office of External Affairs and Environmental Education
       U.S. Environmental Protection Agency
       Ariel Rios Building (1703A)
       1200 Pennsylvania Avenue, NW
       Washington, DC 20460
       Telephone: 202-564-0443

Online resources:

       Visit the EPA's Fellowships website at: www.epa.gov/fellowships

       For detailed information and instructions for filing taxes on a fellowship award, view Publication
       970 atwww.irs.gov
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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       How  to Apply
The following section provides step-by-step instructions for how to apply for a NNEMS fellowship,
identifies the eligibility requirements, lists the application materials and provides an overview of the
application process.

Applying for a NNEMS fellowship involves the following four steps:


Step 1: Determine Your Eligibility

A NNEMS fellowship is available to any associate, undergraduate or advanced student who meets the
general requirements listed below, as well as  those identified for associate, undergraduate and advanced
students.


General Requirements

At a minimum, all applicants must be:

   •   A citizen of the United States, its territories or possessions, or lawfully admitted to the United States
       for permanent residency. The U.S. Citizenship and Immigration Services defines lawful permanent
       residency as any person not a citizen of the United States who is residing in the United States under
       legally recognized and lawfully recorded permanent residence as an immigrant, also known as
       "Permanent Resident Alien," "Resident Alien Permit Holder" and "Green Card Holder." A lawful
       permanent resident must provide his  or her Green Card number on his or her application.
       Enrolled for academic credit at a 2- or 4-year college or university, or distance-learning institution
       accredited by a regional or national accrediting organization recognized by the United States
       Department of Education or the  Council for Higher Education Accreditation.
       Pursuing an educational program directly related to pollution control or environmental protection
       for the duration of the fellowship.

Associate and Undergraduate Students

Students attending 2- or 4-year institutions or distance-learning institutions must meet the following
requirements:

       3.0 cumulative grade point average (GPA) based on a scale of 4.0 at the time the application is due
       (a GPA of 2.999 for example, is not sufficient), and
   •   Completion of at least four undergraduate courses related to the field of environmental studies.

Please note: There are no exceptions to the requirement that applicants must have attained a 3.0 GPA at the
time the application is due. Applicants whose GPA is below 3.0 based on the transcript enclosed with the
application will not be eligible for consideration. For example, applicants with  a GPA below 3.0 who submit
applications in February with the expectation that their spring semester grades will increase their GPA to 3.0
are not eligible.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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Advanced Students

Students enrolled in graduate or doctoral programs must meet the following requirements:

       Currently enrolled in a graduate or Ph.D. program or can provide proof of acceptance and
       enrollment to a graduate or Ph.D. program at the time of fellowship award, and
       Completion of at least one semester of graduate or Ph.D. work, or at least four undergraduate
       courses related to the field of environmental studies.

The following students are not eligible for a NNEMS fellowship:
       Federal employees, including those who are on "leave without pay" status.
       Undergraduate and graduate students who will graduate before the NNEMS fellowship is
       completed (students who complete their undergraduate studies before the end of a fellowship may
       apply if they are admitted and enrolled in a graduate program).
       Students enrolled in certificate programs.
    •   High school students.
Step 2: Find a Project
Review the project descriptions provided in the Catalog of 2013 Fellowships, which begins on page 8.
Identify the project(s) in which you are most interested, as well as those in which you have attained the
desired level of education as specified by the EPA. Please note that students are not allowed to develop or
propose independent projects.
Step 3: Prepare Application Materials
Application packages are submitted in hard copy as explained below. All students who are interested in
applying for a NNEMS fellowship must submit a complete application package (an original and two copies)
that includes:

    •   A completed NNEMS Application Form.
    •   A completed Standard Form 424 - Application for Federal Assistance (SF 424).
    •   A resume.
    •   An official transcript for each 2- or 4-year college or university, or distance-learning institution
       attended. Official transcripts should be opened and photocopied as one original and two
       photocopies of the transcript are required for each complete application. If submitting applications
       for more than one NNEMS project, only one original transcript is required. Applicants should
       include in the application package the envelope in which the original transcript was provided.
    •   A completed NNEMS Reference Form. The Reference Form should be prepared by a professor or
       advisor who knows the applicant well and can specifically discuss the student's aptitude and/or
       experience for the project The Reference Form should be included with the application package;
       however, a reference submitted under separate copy will be accepted if it is postmarked on or
       before the application deadline. In this case, a note should be included in the application package
       indicating that the form is being sent separately.

NNEMS Fellowship Program Catalog and Application Guide for 2013                                            4
Application Deadline: February 8,2013

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    •   A completed and signed original NNEMS Disclosure and Waiver Statement.
    •   Verification of acceptance and/or enrollment in a graduate or Ph.D. program if the applicant is a
       graduating senior.

Applications must substantially comply with the application submission instructions and requirements or
the application will be rejected. Applications deemed ineligible for funding consideration will be notified
within 15 calendar days of the ineligibility determination.

Applicants must submit all application materials listed above. Blank application forms are included in
Appendix A, Application Materials, and may also be obtained on the EPA's fellowships website at
www.epa.gov/fellowships. Students may apply for as many fellowships as desired. Students must submit
a complete application package (one original application package and two copies) for each project for
which they are applying. Although multiple copies of the materials are required, they should be submitted
in the same package.
Step 4: Submit Your Application

Applications must be submitted via mail, courier or express delivery to:

       NNEMS Fellowship Program
       Tetra Tech EM Inc.
       1881 Campus Commons Drive, Suite 200
       Reston,VA20191

The deadline for submissions of applications for 2013 fellowships is February 8, 2013. All materials
must be postmarked on or before February 8, 2013 to be eligible for consideration. Applications
postmarked after February 8, 2013 will not be accepted.

In accordance with 40 Code of Federal Regulations (CFR) 2.203, applicants may claim all or a portion of
their application/proposal as confidential business information. Applicants must clearly mark
applications/proposals or portions of applications/proposals they claim as confidential. If no claim of
confidentiality is made, the EPA is not required to make the inquiry to the applicant unless otherwise
required by 40 CFR 2.204(c)(2) prior to disclosure.

In accordance with the EPA's Assistance Agreement Competition Policy (EPA Order 5700.5A1), EPA staff
will not meet with individual applicants to discuss draft proposals, provide informal comments on draft
proposals, or provide advice to applicants on how to respond to ranking criteria. Applicants are responsible
for the contents of their applications/proposals. However, the EPA will respond to questions from
individual applicants regarding threshold eligibility criteria, administrative issues related to the
submission of the proposal and requests for clarification.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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       Evaluation  and  Selection  of NNEMS  Fellows
Evaluation of Applications

NNEMS fellowships are awarded annually on the basis of the EPA's request for applications and established
evaluation criteria. Every application submitted for a specific fellowship will first be reviewed by external
reviewers to determine whether the eligibility requirements have been met Applications that meet the
eligibility requirements will subsequently be reviewed by panels comprised of EPA staff members. The
panels review and evaluate each application based on the evaluation criteria listed below.
   •  Relevancy of the classroom experience of the student as it relates to the EPA fellowship
      (maximum score = 15 points)
   •  Student's understanding of the proposed EPA fellowship subject matter
      (maximum score = 10 points)
   •  Relevancy of work experience of the student (whether volunteer activities, internships or paid jobs)
      as it relates to the EPA fellowship (maximum score = 10 points)
      Relevancy of the student's academic studies to the EPA fellowship (maximum score = 5 points)
   •  Leadership skills, written communication skills and demonstrated success at working well in an
      office, laboratory or field environment, as appropriate to the project (maximum score = 5 points)
      Potential for success, as reflected by academic records, letters of reference and other relevant
      information (maximum score = 5 points)
      Potential for success, as reflected in the student's approach for ensuring successful achievement of
      the project objectives and in accordance with the application's schedule and milestones
      (maximum score = 2 points)


Selection and Notification of Award Status

Once the EPA has made a decision about whom to award a fellowship, the EPA project officer will contact
the student to offer the fellowship and discuss specific details about the fellowship. Discussions between
the project officer and applicant are intended to produce a clear, mutual understanding of the details of the
project and the results the student wishes to achieve from the project.

During the notification call, the EPA project officer will also review with the student the procedures he or
she must follow to initiate and complete the fellowship.

A fingerprint check or a fingerprint check and a background investigation for security purposes may be
required of fellowship recipients, and personal information about the recipient will be required to
complete these investigations. The EPA reserves the right to terminate the fellowship agreement with a
recipient if his or her background investigation reveals adverse information.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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Student Acceptance of Award
A student selected for a NNEMS fellowship must complete additional documentation required by the
federal government to apply for an official grant with the EPA. The steps required to process a fellowship
and the grant award are lengthy.

If a student is offered and accepts a fellowship, the NNEMS staff will send to the student a Fellowship
Application Packet, instructions for completing the forms in the packet and a copy of the Guidebook for
NNEMS 2013 Fellows.
Notification  of Non-Selection
Students who are not selected for a 2013 fellowship will be notified by email within 15 calendar days after
a decision of non-selection is made.
Resolution of Disputes
Assistance agreement competition-related disputes will be resolved in accordance with the dispute
resolution procedures published in 70 FR (Federal Register) 3629, 3630, (January 26, 2005) located on the
Web at www.epa.gov/ogd/competition/resolution.htm.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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       Catalog of 2013  Fellowship
Described on the following pages are the NNEMS fellowships being offered in 2013. The fellowships are
organized under three categories:

       Environmental Management and Administration
       The topics of fellowships in this category focus on environmental management goals.
       Environmental Science
       Fellowships in this category typically include direct participation in field studies and laboratory
       research. Environmental policy and regulation review requiring technical expertise is included in
       the Environmental Policy, Regulation and Law category described above.
       Public Relations and Communications
       These types of fellowships include the review and analysis of public response to the EPA policies
       and regulations, as well as general public opinion of environmental issues. The projects may include
       the development of communication tools; for example, pamphlets and informational materials.

The fellowships are organized by category and listed in numerical order by project number. Each entry
presents a description of the fellowship and identifies the EPA office that is sponsoring the fellowship, the
location at which the fellowship will be conducted, the timeframe for the project, the desired educational
level of the student and the name of the EPA project officer.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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PROJECT NUMBER:  2013-201                        Des|red Leve| of Educat|on:
Category:
       Environmental Management and Administration
                                                                 Graduate Student to Ph.D.
                                                                 Student
                                                                 Project Location:
                                                                 EPA Region 9 - San Francisco,
Project Title:                                                   CA
                                                                 Preferred Project Period:
       Sustainable Materials Management and Pollution Prevention     6/1/2013 to 5/31/2014
       in the Pacific Southwest
                                                                 Project Officer:

Sponsoring Office:                                            |  JohnKatz

       Waste Management Division, Region 9

Office Mission:

       The mission of the Waste Management Division is to be a steward of the environment to manage
       waste, prevent pollution and minimize materials reaching landfills and incinerators.

Project Overview:

       The fellow will support the Office of Pollution Prevention and Solid Waste in its mission to reduce
       pollution at the source and support sustainable material use and waste management. The fellow
       will participate in EPA efforts to promote sustainability, recycling, pollution prevention and green
       building practices. The fellow will research best practices and develop case studies and collaborate
       with the private sector and state, local and tribal partners to learn how improved environmental
       practices have been integrated. Finally, the fellow will work with EPA staff on product stewardship
       initiatives and on implementation of climate actions in both the public and private sectors.
       To be successful, the fellow selected should have strong oral and written communication skills, an
       understanding of sustainability, and a passion for  environmental work. Specific assignments will
       include interviewing partners, participating in outreach efforts, and conducting research, as well as
       working closely with a high-energy and collaborative team.
       The project dates and hours can be negotiated, but should be no less than 6 months, 20 to 30 hours
       per week, depending on the project length.

Project Goals:

       The fellow will gain an understanding in cutting-edge areas of environmental protection, including
       pollution prevention and sustainable materials management. The fellow will be asked to apply
       concepts of source reduction, materials reuse and recycling, and sustainability behavior change to
       real-world problems and solutions.

Final Product of the Project:

       The final product will have a written and oral component and will demonstrate the fellow's ability
       to conduct effective research and find superior environmental outcomes. The exact nature of the
       work products will depend on which projects the fellow conducts and may include intermediate
       reports on any of the materials management topics listed above.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013

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PROJECT NUMBER:  2013-202                        Des|red Leve| of Educat|on:
Category:
       Environmental Management and Administration
Project Title:
                                                                 6/1/2013 to 5/31/2014
       Sustainable Materials Management in the Pacific Northwest
       and Alaska
                                                                 Graduate Student to Ph.D.
                                                                 Student
                                                                 Project Location:
                                                                 EPA Region 10 - Seattle, WA
                                                                 Preferred Project Period:
                                                                 Project Officer:
                                                                 Melissa Winters

Sponsoring Office:

       Office of Air, Waste, and Toxics, Region 10

Office Mission:

       The mission of the Office of Air, Waste and Toxics is to be a steward of the environment to protect
       air quality, control toxics and manage waste.

Project Overview:

       The fellow will support the Materials Management and Stewardship (MMAS) Team in its mission to
       implement the EPA's Sustainable Materials Management (SMM) Program in the Pacific Northwest
       and Alaska. Building on the familiar concept of Reduce, Reuse and Recycle, SMM is a systemic
       approach that seeks to reduce materials use and their associated environmental impacts over their
       entire life cycle, starting with extraction of natural resources and product design, and ending with
       decisions on recycling or final disposal. Working with the MMAS Team, the fellow will participate in
       efforts that support the EPA's national SMM priorities, including the reduction of food waste
       through the Food Recovery Challenge and efforts to reduce the environmental footprint of federal
       facilities through the Federal Green Challenge. The fellow will participate in the West Coast Climate
       and Materials Management Forum, which is an EPA-led partnership of western cities and states
       that are developing and sharing ways to integrate lifecycle materials management policies and
       practices into climate actions. The fellow will meet with workgroups, conduct policy research and
       analysis, prepare case studies, and participate in MMAS Team activities. To be successful at this
       project, the fellow should have strong oral and written communication skills, an understanding of
       sustainability, and a passion for environmental work.
       The project dates and hours can be negotiated, but should be no less than 6 months, 20 to 30 hours
       per week, depending on the project length.

Project Goals:

       The fellow will gain an understanding of and experience in a new and exciting area of work —
       sustainable materials management The fellow will learn about the relationship between materials
       management and climate change and will be able to translate that understanding into effective
       communication.

Final Product of the Project:

       The final product will include a written and oral component and will demonstrate the fellow's
       ability to conduct effective research and find superior environmental outcomes.

NNEMS Fellowship Program Catalog and Application Guide for 2013                                            10
Application Deadline:  February 8,2013

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PROJECT NUMBER:  2013-301                        Des|red Leve| of Educat|on:
Category:
       Environmental Science
Project Title:
                                                                 6/1/2013 to 5/1/2016
       Emergy-based Decision Support Tool for Sustainable
       Municipal Water Services
Graduate Student to Ph.D.
Student
Project Location:
Cincinnati, OH
Project Period:
Project Officer:
                                                                 Xin (Cissy) Ma
Sponsoring Office:

       Office of Research and Development, Microbiological and Chemical Exposure Assessment Research
       Division (MCEARD) in the National Exposure Research Laboratory (NERL) and Sustainable
       Technology Division (STD) in the National Risk Management Research Laboratory (NRMRL) in
       Cincinnati, Ohio

Office Mission:

       The EPA's Sustainable Research Division works to advance the scientific understanding,
       development and application of technologies to address a variety of areas related to sustainability,
       including systems analysis, environmental management, clean processes, green chemistry and
       green engineering.

Project Overview:

       Finite water resources, increasing demand and aging water infrastructure are some of the greatest
       challenges facing our nation and other global regions. The Safe and Sustainable Water Resources
       (SSWR) research program in the EPA is conducting research and analysis that strive for solutions to
       ensure future generations will have adequate water of sufficient quality. The research program will
       develop sustainable solutions by integrating trans-disciplinary research addressing social,
       environmental and economic outcomes. Complex water issues cannot be solved by a traditional
       "siloed" water management approach. In a water-connected world, sustainable solutions require a
       system-based approach, where water services (traditionally within wastewater, storm water and
       drinking water) are integrated to maximize  the recovery of resources (energy, nutrients, materials
       and water). Next-generation sustainable water systems should employ effective water management
       practices that provide safe and sustainable water from source to drinking water tap. Furthermore,
       these water systems need to be adaptive to address changing societal aspirations, demographics
       and climate.
       Water system managers require science-based assistance for making management decisions. One of
       the system-based methods is emergy synthesis, a process previously used for various systems at
       multiple scales to incorporate  environmental, social and economic aspects into a common unit of
       nonmonetary measure (solar energy equivalents). Furthermore, an emergy approach may provide
       an objective metric to assess the sustainability of systems. It not only quantitatively assesses the
       direct and indirect energy required to produce goods and services, but also provides a decision
       criterion (metric) to evaluate the efficacy of alternatives. Emergy analysis has the potential, along
       with other metrics, to integrate sustainability principles to water system management at different
       scales and levels.
NNEMS Fellowship Program Catalog and Application Guide for 2013                                            11
Application Deadline: February 8,2013

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       Under this project, the fellow will focus on developing an emergy-based decision support tool that
       will focus on how to minimize community wastewater contamination by maximizing the recovery
       of resources (energy, nutrients, materials and water).
       The fellow will work with EPA staff throughout the development process and take a hierarchical
       approach to the project by:
          1.  Investigating the emergy that is embedded in various physical, chemical and biological unit
              processes (such as oxidation, nitrification, de-nitrification and disinfection) in traditional
              wastewater treatment facilities, in constructed green infrastructures and in natural
              systems, as well as in wastewater distribution systems, septic systems, and alternative
              technologies such as composting toilets or urine-divergent toilets.
          2.  Creating an emergy database suited to different geographic location, climate, size of the
              community, differing technology and other factors.
          3.  Identifying and synthesizing data and community plans for  a community of interest that will
              lead to a case study of proof of principle.
          4.  Developing and calibrating emergy parameters and a model compatible with SSWR Project
              5.1 system assessments, using systematic approaches and producing a tool that identifies
              efforts that maximum emergy efficiency for community water services.

Project Goals:

       The fellow will conduct highly interdisciplinary research in the field of sustainable science and
       address hydrology, ecology and engineering issues. The fellow will  work with EPA scientists and
       academic researchers and receive training by leading researchers that will augment his or her
       current graduate program.

Final Product of the Project:

       The fellow is expected to publish research journal papers and aid in the development of a decision
       support tool that addresses water resources and infrastructure of the built environment that
       demonstrates how to maximize emergy efficacy of the water services. Regular progress reports and
       presentations will be expected.
NNEMS Fellowship Program Catalog and Application Guide for 2013                                             12
Application Deadline: February 8,2013

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PROJECT NUMBER:  2013-401                         Des|red Leve| of Educat|on:
                                                                 Graduate Student
Category:
                                                                 Project Location:
                                                                 EPA Headquarters - Arlington,
                                                                 VA, and Washington, DC
                                                                 Project Period:
       Public Relations and Communications
Project Title:
                                                                June 2013 to August 2013
       Community Involvement and Program Initiatives
Sponsoring Office:
                                                                 Project Officer:
                                                                 Suzanne Wells
       Office of Solid Waste and Emergency Response (OSWER), Office of Superfund Remediation and
       Technology Innovation (OSRTI), Community Involvement and Program Initiatives Branch (CIPIB)

Office Mission:

       The mission of the Superfund program is to reduce risk to people and the environment by cleaning
       up the nation's worst hazardous waste problems. The mission of the Superfund Community
       Involvement Program is to advocate for and strengthen early and meaningful community
       participation during Superfund cleanups.

Project Overview:

       The Community Involvement Program seeks to build capacity in communities so that citizens may
       effectively participate in the Superfund process. Building capacity in communities may focus on
       technical assistance or on providing communities the opportunity to form advisory groups to
       discuss site activities and resolve issues. In addition, the Community Involvement and Program
       Initiatives Branch works to establish dialogue with members of the public on critical issues facing
       communities near Superfund sites.
       During this project, the fellow will become familiar with the Superfund process and learn how
       public participation processes are implemented during cleanups. The specific project will depend
       on the emerging issues at the time of application and selection. Students applying for this
       fellowship must have good writing skills and be able to perform basic research, critical analysis and
       synthesis of information from multiple sources. In addition, the students should have knowledge of
       the various tools and techniques used to involve communities in environmental decision making.

Project Goals:

       The fellow will learn critical issues facing a government agency as it seeks to involve the public in
       decision making. The fellow will learn to analyze emerging issues or topics and work with EPA staff
       in developing strategies for managing the issues or topics.

Final Product of the Project:

       The fellow will develop a final report summarizing the results of his or her project.
NNEMS Fellowship Program Catalog and Application Guide for 2013                                            13
Application Deadline: February 8,2013

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      Appendix A  - Application  Materials
A complete set of application materials is included in this appendix. Electronic versions of the forms can be
downloaded from the EPA's fellowship website atwww.epa.gov/fellowships. The forms are available in
an interactive portable document format (pdf) and can be completed online, then printed and mailed to the
EPA NNEMS Staff as described in this document

   Application Materials
          >  NNEMS Application
          >  Sample NNEMS Application
          >  Standard Form 424 - Application for Federal Assistance
          >  Sample Standard Form 424 - Application for Federal Assistance
          >  NNEMS Reference Form
          >  NNEMS Disclosure and Waiver Statement
Helpful Tips:
       Read the section, How to Apply, for detailed instructions on applying for a NNEMS fellowship.
   •   Confirm that you meet all of the eligibility requirements described on pages 3 and 4.
       Include a transcript for each school attended.
       Indicate on the application whether the Reference Form(s) will be sent under separate cover.
   •   Type or complete online the application. If handwritten, write as neatly as possible.
       Review the application to check for typographical or grammatical errors.
   •   Mail the application so that it is postmarked on or before February 8, 2013.
NNEMS Fellowship Program Catalog and Application Guide for 2013
Application Deadline: February 8,2013
14

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   ii
   EPA's NATIONAL NETWORK FOR
ENVIRONMENTAL MANAGEMENT STUDIES
       FELLOWSHIP PROGRAM
       Project Information
                                                                                   NNEMS  Application
                                                                                    Program Announcement Identifier:  EPA-EED-1 3-01
                                                      An interactive PDF version of this form is available online at
                                                      www.epa.gov/fe//owsfi/ps
       Project Number:  2013-	

       Project category:
       Q   Environmental Management and Administration
       Q   Environmental Science
       Q   Public Relations and Communications
       Applicant Information
                                                                     If you are applying for more than one NNEMS project,  please
                                                                     indicate:

                                                                      	  Total number of NNEMS projects for which you are
                                                                              applying
                                                                      	  Order of preference for this project (1 = most preferred)
                                                                     You  must complete a separate application for
                                                                     each project for which you are applying.
       Name:_
     Please check the address to which you would like materials sent.

     Q  Current Mailing Address
         City
         At Current Address Through

         Current Phone:  (	)
                                            State
            Current Email:
            Permanent Mailing Address
         City

         At Permanent Address Through

         Permanent Phone:  (	

         Permanent Email:  	
                                            State
     Zip
(month/year)
                                                                                                       Advanced

                                                                                                       Q   Graduate
                                                                                                       Q   pn D
Current School/University: 	

Current Student Level:
    Undergraduate
Q  Associate
Q  Freshman
Q  Sophomore
Q  Junior
Q  Senior
Current Major/Minor: 	

Expected Graduation Date: 	

Please list any additional universities attended:
                                                                       School/University   Dates Attended
                                                                       School/University   Dates Attended
     Zip       School/University   Dates Attended

 (month/year)
               Names of Individual(s) Providing Reference:
                                                                                                                       Transcript
                                                                                                                       Enclosed
                                                                                                                    QYes  QNo
       Eligibility
       A NNEMS fellowship is available to any associate, undergraduate or
       advanced student who is:
          •  A citizen of the U.S., its territories or possessions, or lawfully admitted to
            the U.S. for permanent residency
          •  Enrolled for academic credit at an accredited educational institution1
          •  Pursuing an educational program directly related to pollution control or
            environmental protection for the duration of the fellowship

       Please note:  The following types of students are not eligible for a
       NNEMS fellowship:

          •  Federal employees, including those  who are on "leave without pay"
            status
          •  Undergraduate and graduate students who will graduate before
            the NNEMS fellowship is completed (Students who complete their
            undergraduate studies before the end of a fellowship may apply if
            currently accepted or enrolled to a graduate program.)
          •  High school students


          1    The 2- or 4-year college, university or distance-learning institution must
              be accredited  by a regional or national accrediting organization
              recognized by the U.S. Department of Education or the Council for
              Higher Education Accreditation  (wvfw.chea.org]
                                                                     Additional requirements for associate, undergraduate and advanced students
                                                                     include the following:

                                                                     Associate and Undergraduate Students

                                                                        •  3.0 cumulative grade point average (GPA) based on a scale of 4.0 at
                                                                          the time that the application is due (a GPA of 2.999, for example, is not
                                                                          sufficient)
                                                                        •  Completion of at least four courses related to the field of environmental
                                                                          studies

                                                                     Advanced Students

                                                                        •  Currently enrolled in a graduate or Ph.D. program or can provide proof
                                                                          of acceptance and enrollment to a graduate or Ph.D. program at the
                                                                          time of fellowship award. Students who are awaiting notification of
                                                                          acceptance must submit verification of acceptance and enrollment at the
                                                                          time of fellowship award.
                                                                        •  Completion of one semester of graduate or Ph.D. work, or at least four
                                                                          undergraduate courses related to the field of environmental studies
 E
PA's National Network for Environmental Management Studies Fellowship Program
                                         Application 2013    Page 1 of 2

-------
Project Number:  2013-_

      Proposal
                                                         NNEMS Application
      You may attach one additional page as necessary.

      Proposed Research Plan: Describe how you would conduct your research on this project.
      Relevant Information:  Describe your academic, professional or relevant experience that you believe qualifies you to conduct this
      research. For example, identify academic courses or research that enhances your qualifications.
      Academic Goals: State how you expect this project to support your academic and professional goals.
Application Package Checklist

Are you a citizen of the U.S., its
territories or possessions, or lawfully
admitted to the U.S. for permanent
residency (a lawful permanent resident
must provide his or her green card
number on his or her application)?
Are you enrolled at an accredited school?
Are you a federal employee?
Federal employees, including those who
are on "leave without pay" status, are not
eligable fora NNEMS Fellowship.
Do you have a minimum 3.0 GPA?
Confidential Information
Does your application package contain
information that you consider to be
confidential?
Be sure to clearly mark confident!
Vfes
3

3
3



3
Vfes
D

al
No
n

n
3



n
No
n






Students must submit three complete application packages for each project (one
original and two copies). Please note that only one official transcript is required,
which may be opened and copied, even if a student is applying for multiple
projects. Please verily that you have included:

A completed Application Form
A completed Standard Form 424 (SF 424)

A resume
An official college transcript from each
school attended
A Reference Form from a professor
or advisor
A completed NNEMS Disclosure and
Waiver Statement

Verification of acceptance and/or
Original
a
a

a
a

a
a

a
2 Copies
a
a

a
a

a
a

a
/viaiiea
Separately
a
a

a
a

a
a

a
       information
                                                    if applicant is a graduating senior
 Complete application packages must be submitted for each NNEMS project.
 Applications must be postmarked on or before February 8, 2013.
                                              Send the completed application package to:
                                              NNEMS Fellowship Program
                                              Tetra Tech EM Inc.
                                              1 881 Campus Commons Drive, Suite 200
                                              Reston.VA 20191
 Page 2 of 2
EPA's National Network for Environmental Management Studies Fellowship Program
Application 2013

-------
   ii
   EPA's NATIONAL NETWORK FOR
ENVIRONMENTAL MANAGEMENT STUDIES
       FELLOWSHIP PROGRAM
       Project Information
                                                       Sample  NNEMS  Application
                                                                           Program Announcement Identifier: EPA-EED-1 3-01
                                               An interactive PDF version of this form is available online at
                                               www.epa.gov/fe//owsfi/ps
       Project Number: 2013-J«X	

       Project category:
       13  Environmental Management and Administration
       Q  Environmental Science
       Q  Public Relations and Communications
       Applicant Information
                                                             If you are applying for more than one NNEMS project,  please
                                                             indicate:

                                                                     Total number of NNEMS projects for which you are
                                                                     applying
                                                              	  Order of preference for this project (1  = most preferred)
                                                             You must complete a separate application for
                                                             each project for which you are applying.
       Name:   John Doe
Please check the address to which you would like materials sent.

Q  Current Mailing Address
    123 Hill  Street
           Anytown
                                         VA
                                                         22205
           City                           State             Zip
           At Current Address Through May  2013	(month/year)

           Current Phone:  I  123   |   456   .  7891	
    Current Email:   johndoe@email.com

    Permanent Mailing Address
                                                         ,-    , c \_  i /i i •    •,.   State  University
                                                         Current School/University:	

                                                         Current Student Level:
                                                             Undergraduate
                                                        Q  Associate
                                                        Q  Freshman
                                                        Q  Sophomore
                                                        3  Junior
                                                        Q  Senior
                                                        Current Major/Minor:
                                                                                                  Advanced

                                                                                                  Q  Graduate
                                                                                                  Q  pn D
                                                                                 Environmental Policy

                                                                                      June  2014
                                                         Expected Graduation Date:

                                                         Please list any additional universities attended:
                                                                   School/University   Dates Attended
                                                                                                                  Transcript
                                                                                                                  Enclosed
                                                                                                         QYes   QNo
City

At Permanent Address Through

Permanent Phone: (	

Permanent Email:  	
                                         State
    Zip

(month/year)
       Eligibility
                                                                   School/University   Dates Attended
                                                                                                         QYes   QNo
                                                                   School/University   Dates Attended

                                                                   Names of Individual(s) Providing Reference:
                                                                                                         QYes   QNo

                                                                                                  Dr'  Jane  Doe
       A NNEMS fellowship is available to any associate, undergraduate or
       advanced student who is:
         • A citizen of the U.S., its territories or possessions, or lawfully admitted to
           the U.S. for permanent residency
         • Enrolled for academic credit at an accredited educational institution1
         • Pursuing an educational program directly related to pollution control or
           environmental protection for the duration of the fellowship

       Please note:  The following types of students are not eligible for a
       NNEMS fellowship:

         • Federal employees, including those who are on  "leave without pay"
           status
         • Undergraduate and graduate students who will graduate before
           the NNEMS fellowship is completed  (Students who complete their
           undergraduate studies before the end of a fellowship may apply if
           currently accepted or enrolled to a graduate program.)
         • High school students


          '   The 2- or 4-year college, university or distance-learning institution must
             be accredited by a regional or national accrediting organization
             recognized by the U.S. Department of Education or the Council for
             Higher Education Accreditation (wvfw.chea.org]
 EPA's National Network for Environmental Management Studies Fellowship Program
                                                                                     Application 2013   Page 1 of 2

-------
Project Number:  2013-_

      Proposal
             XXX
                                               Sample  NNEMS Application
      You may attach one additional page as necessary.

      Proposed Research Plan:  Describe how you would conduct your research on this project.

      Some well-placed phone calls  can save a  lot of  time in the library,  so my  investigation would
      begin with  a week or  two of phone interviews with a range  of people  already  familiar  with
      (1)  wetland protection issues,  and  (2) the impact of USAID,  World  Bank and IUCN policies on
      environmental  media.  I would  include USAID and  World Bank  program  officers, UNEP officers,
      UNEP officials,  public interest  organizations with international environmental programs,  and
      academic  specialists,  as well as people  within  the EPA.
      (continued  on attached  sheet)

      Relevant Information: Describe your academic, professional or relevant experience that you believe qualifies you to conduct this
      research. For example, identify academic courses or research that enhances your qualifications.

      Though I  do not have  a background in wetlands or  water issues in general,  I  have been working
      for  the past five years on international  pesticide issues.  I  am already familiar with  some of
      the  mechanisms  currently in place at the World  Bank and USAID to regulate  how their funds are
      used for  pesticides.  Last year,  I wrote  Problem Pesticides,  Pesticide Programs and Analysis
      of the International  Code of  Conduct on  the Distribution and Use of  Pesticides approved in
      November  1986  by the  FAO,  as  well as a guide on how to monitor for compliance with the  code.



      Academic Goals:  State how you expect this project to support your academic and professional goals.


      I would expect my end project to be a report summarizing the impacts these agencies are
      having on wetlands, along with  a substantive analysis of the legal and political factors
      driving these  impacts. The  report would  also include specific recommendations for policy
      changes.  This  project would allow me to  gain hands-on experience in  international policy
      as it relates  to environmental  issues, which dovetails with the Environmental Management
      program I am pursuing. This real world experience would reinforce  the topics I have studied
      in school,  allow me to explore  wetlands  issues  in more depth, and  give me  crucial background
      experience  to  help me find a job in  the environmental public policy field upon graduation.
      Application Package Checklist
       Are you a citizen of the U.S., its
       territories or possessions, or lawfully
       admitted to the U.S. for permanent
       residency (a lawful permanent resident
       must provide his or her green card
       """iber on his or her application)?
num
                                      Yes
       Confidential Information          Yes
       Does your application package contain     Q
       information that you consider to be
       confidential?
       Be sure to clearly mark confidential
       information
                                     No
                                     a
                       i i       *
       Are you enrolled at an accredited school?     [vl    Q

       Are you a federal employee?            Q    [vj
       Federal employees, including those who
       are on "leave without pay" status, are not
       eligable fora NNEMS Fellowship.
       Do you have a minimum 3.0 GPA?       [x
                                     a
                                     No
                                     SI
Students must submit three complete application packages for each project (one
original and two copies). Please note that only one official transcript is required,
which may be opened and copied, even if a student is applying for multiple
projects. Please verily that you have included:
                                                                                               Mailed
                                                                                             Separately
 A completed Application Form

 A completed Standard Form 424 (SF 424)

 A resume

 An official college transcript from each
 school attended
 A Reference Form from a professor
 or advisor
 A completed NNEMS Disclosure and
 Waiver Statement

 Verification of acceptance and/or
 enrollment in a graduate or Ph.D. program
 if applicant is a graduating senior





 Complete application packages must be submitted for each NNEMS project.
 Applications must be postmarked on or before February 8, 2013.
                                                     Send the completed application package to:
                                                     NNEMS Fellowship Program
                                                     Tetra Tech EM Inc.
                                                     1 881 Campus Commons Drive, Suite 200
                                                     Reston.VA 20191
 Page 2 of 2
         EPA's National Network for Environmental Management Studies Fellowship Program
                                             Application 2013

-------
                Standard  Form 424  - Application for
                                 Federal Assistance
     Following are instructions for completing the Standard Form 424 (SF-424) Application for Federal Assistance.
     An interactive pdf version of this form is available online at www.epa.gov/fellowships.
     As listed below, several fields on the SF-424 should be left blank.
     1.    Enter "Preapplication."
    2.    Enter "New."
    3.    Leave blank.
    4.    Leave blank.
    5.    Federal Entity Identifier: Leave blank.
         Federal Award Identifier:  Leave blank.
    6.    Leave blank.
    7.    Leave blank.
    8.    Legal Name: Enter your legal name in this order:  last name, first name, middle initial/name.
         Employer/Taxpayer Identification  Number (BIN/TIN): Enter "123456789."
         Organizational DUNS:  Leave blank.
         Address:  Enter the address (including street, city, state, and zip code) you are currently using to receive
         United States Postal Service mail.
         Organizational Unit: Leave blank.
         Name and contact information of person to be contacted on matters involving this application:  Enter your
         name, telephone number,  and email address. Your middle name, suffix, and fax number are optional.
    9.    Enter "P. Individual."
     1 0.  Enter "Environmental Protection Agency."
     11.  Enter "66.952."
     12.  Enter "EPA-EED-1 3-01."
     1 3.  Leave blank.
     14.  Leave blank.
     15.  Enter the  project title of the fellowship for which you are  applying.
     16.  List your Congressional District under "Applicant." Under "Program/Project," list the Congressional District for the
         fellowship project location. To  identify the appropriate Congressional District, go to www.fiouse.govand enter
         your nine digit zip code to identify your representative and district.
     17.  Enter the  project start and end dates for the fellowship for which you are applying.
     1 8.  Leave blank.
     1 9.  Enter "c.  Program is not covered  by E.O. 1 2372."
    20.  Self-explanatory.
    21.  Enter your name, title, telephone number and email address. "Student" or "Graduate Student" is an appropriate
         title. Print a hard-copy of the SF 424 and sign the pre-application.
E
PA's National Network for Environmental Management Studies Fellowship Program — Catalog for 2013

-------

-------
                                                                                                                     OMB Number: 4040-0004
                                                                                                                  Expiration Date: 03/31/2012
   Application for Federal Assistance SF-424
 1. Type of Submission:
 n] Preapplication
 n] Application
 nj Changed/Corrected Application
* 2. Type of Application:
 |P_ New
 [^ Continuation
 I ~ Revision
1 If Revision, select appropriate letter(s):
" Other (Specify)
1 3. Date Received:
                                    4. Applicant Identifier:
5a. Federal Entity Identifier:
                                                                1 5b. Federal Award Identifier:
State Use Only:
6. Date Received by State:
        7. State Application Identifier:
8. APPLICANT INFORMATION:
1 a. Legal Name:
* b. Employer/Taxpayer Identification Number (EIN/TIN):
                           * c. Organizational DUNS:
d. Address:
* Streetl:
 Street2:
* City:
 County:
* State:
 Province:
* Country:
*Zip/ Postal Code:
                              USA:  UNITED  STATES
e. Organizational Unit:
Department Name:
                                                                Division Name:
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
Middle Name:
* Last Name:
Suffix:
                                                   1 First Name:
Title:
Organizational Affiliation:
1 Telephone Number:
                                                                          Fax Number:
' Email:

-------
Application for Federal Assistance SF-424
9. Type of Applicant 1: Select Applicant Type:
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
 10. Name of Federal Agency:
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
 12. Funding Opportunity Number:
" Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
 15. Descriptive Title of Applicant's Project:
Attach supporting documents as specified in agency instructions.

-------
Application for Federal Assistance SF-424
16. Congressional Districts Of:

* a. Applicant                                                                 * b. Program/Project
Attach an additional list of Program/Project Congressional Districts if needed.
17. Proposed Project:
* a. Start Date:                                                                      * b. End Date:
18. Estimated Funding ($):
* a. Federal

* b. Applicant

* c. State

* d. Local

* e. Other

* f.  Program Income

* g. TOTAL
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?

|fj a. This application was made available to the State under the Executive Order 12372 Process for review on

[Q b. Program is subject to E.O. 12372 but has not been selected by the State for review.

[TJ c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) Applicant Federal Debt Delinquency Explanation

[D Yes         |T_ No
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and  accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims  may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)

Q ** I AGREE

**  The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix:        |                         I            * First Name:

Middle Name:
* Last Name:

Suffix:
" Title:
* Telephone Number:                                                      Fax Number:
'  Email:
* Signature of Authorized Representative:                                       * Date Signed:

-------
Application for Federal Assistance SF-424
* Applicant Federal Debt Delinquency Explanation

The following field should contain an explanation if the Applicant organization is delinquent on any  Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.

-------
Sample  SF-424
                                                                                                              OMB Number: 4040-0004
                                                                                                           Expiration Date: 03/31/2012
    Application for Federal Assistance SF-424
 * 1. Type of Submission:
  l^ffPreapplication
  ^\ Application
  Hi Changed/Corrected Application
                                  * 2. Type of Application:
                                   [j^JJNew
                                   [p] Continuation
                                   P Revision
1 If Revision, select appropriate letter(s):
" Other (Specify)
 * 3. Date Received:
                                   4. Applicant Identifier:
 5a. Federal Entity Identifier:
                                                             * 5b. Federal Award Identifier:
 State Use Only:
 6. Date Received by State:
                                         7. State Application Identifier:
 8. APPLICANT INFORMATION:
*a. Legal Name:
                  Doe, John H.
* b. Employer/Taxpayer Identification Number (EIN/TIN):
                                                             * c. Organizational DUNS:
 d. Address:
 * Streetl:
  Street2:
 * City:
  County:
 * State:
  Province:
 * Country:
 *Zip/ Postal Code:
123 Hill Street

Anytown


VA


USA: UNITED STATES
22205

 e. Organizational Unit:
 Department Name:
                                                             Division Name:
 f. Name and contact information of person to be contacted on matters involving this application:
 Prefix:
 Middle Name:
 * Last Name:
 Suffix:

* First Name:

John

Doe


 Title:   Student
 Organizational Affiliation:
 1 Telephone Number:    (123) 456-7891
                                                                      Fax Number:
  Email:    johndoe@email.com

-------
Sample  SF-424
 Application for Federal Assistance SF-424
 9. Type of Applicant 1: Select Applicant Type:
  P. Individual
 Type of Applicant 2: Select Applicant Type:
 Type of Applicant 3: Select Applicant Type:
 * Other (specify):
 * 10. Name of Federal Agency:
  Environmental Protection Agency
 11. Catalog of Federal Domestic Assistance Number:
  66.952
 CFDA Title:
  ' 12. Funding Opportunity Number:
   EPA-EED-13-01
  1 Title:





   NNEMS Fellowship Program
13. Competition Identification Number:

Title:


14. Areas Affected by Project (Cities, Counties, States, etc.):


* 15. Descriptive Title of Applicant's Project:
Community Involvement and Program Initiatives




Attach supporting documents as specified in agency instructions.

-------
Sample SF-424
Application for Federal Assistance SF-424
16. Congressional Districts Of:
* a. Applicant Virginia 8th « b. Program/Project Virginia 8th
Attach an additional list of Program/Project Congressional Districts if needed.


17. Proposed Project:
* a. Start Date: 6/1/2013 * b. End Date: 8/31/2013






18. Estimated Funding ($):
* a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
*f. Program Income
* g. TOTAL
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
Q a. This application was made available to the State under the Executive Order 12372 Process for review on
] b. Program is subject to E.O. 1 2372 but has not been selected by the State for review.
Q c. Program is not covered by E.O. 12372.



* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) Applicant Federal Debt Delinquency Explanation
[O Yes J7] No
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
0f" I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: * First Name: John

Middle Name:
* Last Name: Doe
Suffix:


* Title: Student
* Telephone Number: 123-456-7891 Fax Number:
* Email: Johndoe@email.com






"Signature of Authorized Representative: ^y^/^'^Off * Date Signed: January 26, 2013


-------
Sample SF-424
 Application for Federal Assistance SF-424
 * Applicant Federal Debt Delinquency Explanation

 The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of
 characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.

-------
  il
                                             Reference  Form
  EPA's NATIONAL NETWORK FOR
ENVIRONMENTAL MANAGEMENT STUDIES
     FELLOWSHIP PROflRAM
      Instructions for the Reference
     Thank you for providing a reference for a NNEMS fellowship applicant. Before you begin, please note that this
     reference is not intended to be confidential. Please submit the completed  form to the applicant identified below, to
     be included in the application package. You may submit the reference under separate cover at the address provided
     below, but it must be postmarked on or before February 8, 2013:

     NNEMS Fellowship Program
     Tetra Tech EM Inc.
     1 881 Campus Commons Drive,  Suite 200
     Reston, VA20191
      To be Completed by Applicant
     Project Number: 2013-

     Applicant's Name:  	
      Current Mailing Address:
      City
State
Zip
                          Current Phone:

                          Current Email:
                          School/University:
                                                       Current Major/Minor:  	

                                                       Expected Graduation Date:
      To be Completed by the Reference
      Name of Individual
      Providing Reference:  	

      Current Mailing Address:
      City
State
Zip
                          Current Phone:

                          Current Email:

                          Position or Title:

                          Department:  	

                          Institution:  	
                                                       Signature
                                                               Date
                                  (Reference Form continued on next page)
 EPA's National Network for Environmental Management Studies Fellowship Program — Reference Form
                                                               Page 1 of 2

-------
                                                                                Reference Form
            Reference
           The applicant named above is applying for a NNEMS fellowship. What are your personal impressions of the
           candidate's ability to perform the proposed fellowship? Include how the fellowship relates to and will further the
           student's academic goals. Please comment on the quality of his or her work, and promise of productive scholarship.
           Please explain in what capacity you have known the applicant and for what time period.
            Rating;
            Please rate this student in overall promise in comparison with other individuals with whom you have known at similar
            stages in their academic studies by checking the appropriate boxes.

Academic Performance
Motivation for Proposed
NNEMS Research Plan
Research and Writing Ability
Leadership Skills and
Written Communication Skills
Outstanding











	




Excellent
1

1


1



a
Good










—





Fair

















Poor

















Not
Applicable











	




Reset
Page 2 of 2
EPA's National Network for Environmental Management Studies Fellowship Program — Reference Form

-------
                   NNEMS  Disclosure  and  Waiver  Statement

            Please complete and submit with NNEMS application package. This form may be photocopied.


            I understand that the National Network for Environmental Management Studies (NNEMS) Program fellows are not
            employees of the Environmental Protection Agency (EPA) or the U.S. government. Thus, if selected to be a NNEMS
            fellow, I will not receive typical federal employee benefits including, but not limited to, health insurance, life insurance,
            annual leave and sick leave.
            In addition, I understand that in the event of an accident causing injury to myself while either performing my assigned
            functions or traveling, the U.S. government is not liable for any injury or harm  I may incur. Further, I understand that
            the U.S. government is not liable for any injury or harm I may cause another person  or persons while performing
            my assigned functions or traveling for the EPA. As such, I understand that I am responsible for any injury or harm I
            cause to myself or others as a result of my actions.
            By signing this form, I acknowledge that I fully understand the provisions contained in this statement regarding my
            status as a NNEMS fellow and the consequences of my actions while working as a NNEMS fellow. As a result, I
            have considered  the possibility of obtaining personal insurance during my NNEMS fellowship.
            Name:	  School:
            Home Address:	  Project # Applied For:  2013-

             	  Project Category:  	
            Home Phone Number:
            Signature:	  Date:
Reset
EPA's National Network for Environmental Management Studies Fellowship Program — Disclosure and Waiver Statement

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                                                      —
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-------