A. Victoria Endowed Internship Award Application

Application Deadline: April 23, 2021; to be awarded Fall 2021.

If there are additional sheets to attach please send in PDF format to cam@cmich.edu.

Title

Name

Student ID

Email

Phone

Major

Minor

Overall GPA

Academic Year

Participation Date(s) of Co-curricular Activity and Professional Memberships (1)

Program/Organization Name and Address of Co-curricular Activity and Professional Memberships (1)

Summarize your role with Co-curricular Activity and Professional Memberships (1)

Participation Date(s) of Co-curricular Activity and Professional Memberships (2)

Program/Organization Name and Address of Co-curricular Activity and Professional Memberships (2)

Summarize your role with Co-curricular Activity and Professional Memberships (2)

Participation Date(s) of Co-curricular Activity and Professional Memberships (3)

Program/Organization Name and Address of Co-curricular Activity and Professional Memberships (3)

Summarize your role with Co-curricular Activity and Professional Memberships (3)

Participation Date(s) of Internship Completed and Upcoming (1)

Program/Organization Name and Address of Internship Completed and Upcoming (1)

Summarize your role with Internship Completed and Upcoming (1)

Participation Date(s) of Internship Completed and Upcoming (2)

Program/Organization Name and Address of Internship Completed and Upcoming (2)

Summarize your role with Internship Completed and Upcoming (2)

Participation Date(s) of Internship Completed and Upcoming (3)

Program/Organization Name and Address of Internship Completed and Upcoming (3)

Summarize your role with Internship Completed and Upcoming (3)

Career Goals and how your internship experience(s) will help support achievement of those goals

College of the Arts and Media