Unpaid/Underpaid Internship Support Form

Internship Information
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Internship Start Date*
Date Format: MM slash DD slash YYYY
Internship End Date*
Date Format: MM slash DD slash YYYY
Hours per week*
Hourly pay (if applicable)
Internship Job Description*

Written Responses
Please explain why this internship is important to you and how it fits into your professional goals and career path.*
Please explain how this money will help to make your internship financially possible.*

Further Information
Please provide a detailed breakdown of your budget during your internship, including the amount of money you are requesting (up to $4,000)*
Please disclose any additional funding you are receiving to support your internship*
*
- I understand that if I am awarded this financial support it may impact my financial aid and/or have tax implications. By checking this box I acknowledge it is my responsibility to consult Financial Aid to determine any such impact.
Please submit an intership offer letter/email confirming you have received an offer.*
This can be an image, PDF, or other type of file.
Phone
This field is for validation purposes and should be left unchanged.

Internship Support - Student Application