Application for Engage IU SOUTH BEND Interns
Application for Engage IU SOUTH BEND Interns
Student Information
Student Name
*
First
Middle
Last
Student ID
*
Maximum of
10
digits allowed.
Currently entered:
0
digits.
IU Email
*
Major / minor
Credit Hours Completed
Cumulative GPA
Have you received this award before?
*
Yes
No
Will this be your first internship experience?
*
Yes
No
Are you currently an undergraduate or graduate student?
*
Undergraduate
Graduate
Organization / Agency Information
Organization / Agency Name
*
Internship Supervisor & Position Title
*
Supervisor Email
*
Supervisor Phone
-
Area Code
-
Prefix
Line Number
Brief Description of Organization
Internship Description
Start Date
*
/
MM
/
DD
YYYY
End Date
*
/
MM
/
DD
YYYY
Weekly Schedule
*
Internship Position Title (if applicable)
*
If no title enter N/A.
If no title enter N/A.
Duties & Responsibilities
*
Course Information
Course Number & Name
*
Section Number
*
Number of internship hours needed to receive credit
*
Faculty Sponsor
*
First
Last
Department
*
Faculty Email
*
Faculty Phone
-
Area Code
-
Prefix
Line Number
Essay
Upload an essay (up to 600 words) in which you answer the following questions:
o What are your academic achievements in college thus far?
o How is this internship relevant to your major/minor?
o What new skills or experiences do you expect to obtain from this internship?
o How will this internship help you to meet your academic and professional goals?
o How will this internship benefit the non-profit organization?
*
Attach Files
Consent
I understand that:
*
The awards committee will access my transcript and contact the Internship Supervisor to verify information in this application.
Failure to complete the internship will result in the termination of the award.
I agree to:
*
Complete a survey about my internship experience at the end of the semester.
Allow my photograph to be used for marketing purposes.