2016-2017 CAS Community Engaged Academic Internship Grant Application
Please complete the following online application to be considered for this award. Application deadlines for each semester can be found at the following link: http://www.luc.edu/experiential/CAScommunityengagedacademicinternshipgrants/

If you have any questions about this online application, please contact the Academic Internship Program Manager at dforchette@luc.edu.

First Name
Your answer
Last Name
Your answer
Student ID Number
Your answer
Declared Major
Your answer
Email
Your answer
Declared Minor
Your answer
Academic Advisor
Your answer
Please indicate your class standing for Academic Year 2016-2017.
Internship Title
Your answer
Internship Employer
Your answer
Internship Supervisor's Name
Your answer
Internship Supervisor's Email
Your answer
Internship Start Date
MM
/
DD
/
YYYY
Internship End Date
MM
/
DD
/
YYYY
How many hours per week will you be at your internship?
Your answer
Check the appropriate box to confirm compensation details for your internship
Required
Internship Description
Your answer
Is an academic internship required for your major?
Please choose which semester you will be doing your academic internship.
What academic internship course are you registered for?
Your answer
Please attach a personal essay addressing the following prompts. Please provide a thoughtful response, not exceeding 500 words.
1. What is the mission of the organization? What issue(s) does the organization address and who does the organization serve? 2. Why are you interested in working with this organization? What will you be doing? How will your activities address the mission of the organization? 3. How have previous personal, academic or professional experiences led you to this opportunity? In what ways do you think participating in this academic internship will be transformative for you personally, academically, and professionally?
Your answer
Statement of financial need
In 150 words or less, please address why this award will support your completion of an academic internship. Financial need will also be confirmed through the Financial Aid Office.
Your answer
Signature Required (please read the following statement and type your name in the box that follows to indicate your agreement)
If I am unable to complete this internship or if the internship is canceled (outside of my control), any award offers will be revoked and future payments denied. The information I’ve provided in this application is true, and I understand any misrepresentation will disqualify me from consideration. I understand that if I receive this award, my name, photo, and details about my internship may be made public. In addition, I may be asked to participate in promotional activities, such as sharing my experience to encourage future applicants.
Your answer
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