A. Victoria Endowed Internship Award Application

Application Deadline: November 15, 2019; to be awarded for Spring 2020.

NOTE: An internship in the awarded semester is not required, i.e., if you are planning to have an internship in a summer semester, but the award is made in the spring semester, that is acceptable.

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

A. Victoria Endowed Internship Award Application

College of the Arts and Media