Foreign National Student Intern Program (FNSIP)

(GTM/OE Approved December 12, 2019)

U.S. Mission Vietnam

Foreign National Student Intern Program (FNSIP) – Statement of Interest

Section 1: Personal Information

Name: V ũ T h ị N g ọ c A n h
Address: Thường Tín, Hà Nội, Việt Nam
Email: [email protected]
Phone: (+84) 865979215

Do you have any relatives that currently work in this U.S. mission? Yes ☐ No ☐
If yes, please provide their name, position title, and the section where they work.

Are you a citizen or legal permanent resident of the country where this U.S. mission is
located? Yes ☐ No ☐

(If you answered “no”, you are not eligible to participate in the FNSIP.)

Section 2: Education

Name and full Dates Attended Did you graduate? Name &
address of your From (mm/yyyy) Yes ☐ No ☐ Telephone
current College, To (mm/yyyy) Number of
University or 10/2021 to Major Area of instructor:
Institution 10/2025 Study:
Hanoi Do Thu Phuong,
University of The International (+84) 982 955 540
Science and Professional English
Technology
Address: No. 1
Dai Co Viet, Hai
Ba Trung, Hanoi

How many hours per week are you able to participate in the FNSIP? 20 hours per week

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 Foreign National Student Intern Program (FNSIP)
(GTM/OE Approved December 12, 2019)

What days of the week are you available? Every day

Please list your proposed start and end dates. 1/3/2025 -1/3/2026

Section 3: Languages

Please list the languages that you speak, read and/or write and the level for each below:

1 – Basic Examples - Basic greetings, phrases, and numbers.

2– Limited Examples – Directions, simple questions.
3- Good working knowledge Examples – Conversations about familiar topics,
complex documents.
4– Fluent Examples – Infer nuanced meaning from complex documents.
5- Translator Examples – Certified professional translator in this language.

Speaking Reading Writing

Language
(Provide Level) (Provide Level) (Provide Level)
Vietnamese Fluent Fluent Fluent

English Fluent Fluent Good working knowledge

Japanese Basic Basic Basic

Section 4: Special Qualifications and Skills

List any special skills, including computer, you possess and equipment you can use,
certifications, licenses obtained, etc.

Skills Equipment Certifications Licenses

Microsoft Office Suite Personal computer
(Word, Excel,
PowerPoint,…)
Project planning
Teamwork
Graphic design Canva

Section 5: Training Received

List training received in areas applicable to the internship position in which you are applying

Translation and Interpretation Practice: Skills and strategies necessary to perform effective
translation and interpretation of different types of professional discourses

International Studies: An understanding of cultural diversity, traditional beliefs and values,… in

the USA
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 Foreign National Student Intern Program (FNSIP)
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Research Methodology: The research methods and ethical issues involved in a proposed research
project

Professional skill 1 – Business culture:

The ability to analyze and product of simple professional documents (e.g. memos, messages,
emails, notes etc) in common work contexts
Professional communication skills in familiar work-related contexts (e.g. socializing, telephoning,
dialogues, etc.)
Cultural differences in international business environments
Communicate effectively in a variety of professional contexts (e.g. on the phone, face-to-face
conversations)

Professional skill 2 - Presentation skills, Visual illustration:

The ability to present ideas clearly and articulately to an audience using effective visual aids

Professional skill 3 – Project report

Analysis and conduction of professional documents (project reports)
Professional and communication strategies in employability related tasks

Introduction to Computer science

Section 6: Work Experience:

Paid and Voluntary – Please list your most current work experience

Job Title: From: (mm/yyyy) To: (mm/yyyy) Annual Salary

online teacher
Full Time ☐ OR 02/2022 09/2023 60 million VND
Part-Time ☐
Employer Name, Nguyen Thi Mai
Address and Phone Hanoi, Vietnam
Number (+84)397004250

Main Duties and Responsibilities: In each 25-minute session I got to know a completely new
student, then carry out assessments and communicate with parents to provide comments and
feedback on students' work.

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 Foreign National Student Intern Program (FNSIP)
(GTM/OE Approved December 12, 2019)
Reason for leaving: I wanted to have more time so that I could focus on my study.

Job Title From: (mm/yyyy) To: (mm/yyyy) Annual Salary

Full Time ☐ OR 09/2021 Up to the present time About 220 million VND
Part-Time ☐
Employer Name, Self- employed
Address and Phone
Number

Main Duties and Responsibilities: To date, I have held private tutoring classes at my house for a
total of 52 students, varying from grades 2 to 10. I have gained lesson planning skills to formulate
all the lectures and assignments by myself.

Reason for leaving:

Section 7:

Have you ever worked for the U.S. Government? YES NO

Section 8: Reason for wanting to participate in the FNSIP

Please provide a brief statement to explain why you would like to be considered for the FNSIP
and what you hope to achieve during the program that will benefit your current area of study.
Please also give us two best examples of how you support/contribute to the Community Liaison
Office (CLO).

After having three years of teaching experience in several academic settings, it’s time for me to
try other fields to release my full potential and figure out my future route. I hope that the
program will open my eyes, and more than that, let me work in an international business
environment to practice professional English. As a member of your Intern Program, I would
like to utilize my enthusiasm and experience to realize your goals by researching local
resources and supporting your events.

Section 9: DECLARATION
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 Foreign National Student Intern Program (FNSIP)
(GTM/OE Approved December 12, 2019)

□ I am a current student at a trade school, technical or vocational institute, junior college,

college, university or other accredited educational institution, and I am in good academic
standing.

□ I understand that any information I provide may be investigated and that any false statements
may be grounds for non-consideration or termination from the FNSIP, if selected.

□ I understand that, if I am provisionally selected for the FNSIP, a successful security and
medical certification must be completed before I may begin the program.

□ I consent to the release of information about my ability and fitness for the FNSIP by
employers, schools, law enforcement agencies, and other individuals and organizations to U.S.
mission-authorized investigators and personnel.

□ I certify that, to the best of my knowledge, all of my statements are true and complete.

Printed Name of Applicant Date

Signature of Applicant

YOU MUST INCLUDE:

 A copy of your identification card.
 A copy of your school identification card.
 A copy of your most recent school transcript.
 A written permission from the educational institution. (This
can be submitted after being offered.)

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 Foreign National Student Intern Program (FNSIP)
(GTM/OE Approved December 12, 2019)

U.S. DEPARTMENT OF STATE GRATUITOUS SERVICE AGREEMENT

[A signed copy of this document should be maintained by post’s HR office.]

I understand and agree that I am being provided an opportunity to perform volunteer services
pursuant to 5 U.S.C. § 3111 as part of the Foreign National Student Intern Program. I
understand that I will not be receiving any compensation in return for the services that I perform.
I further agree that I waive any and all claims against the U.S. Department of State and/or the
United States Government (USG) for payment of compensation as a consequence of my
performance of services under this agreement. I further understand that I will not be considered
an employee of the U.S. mission, the U.S. Department of State or the USG, except as otherwise
provided by applicable law.

I understand that I have been accepted into the FNSIP and that my participation in this program
is subject to termination at any time at the discretion of the U.S. mission.

Please sign below to acknowledge that you understand the terms of this arrangement.

Printed Name of Student Date

Signature of Student

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