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2026 GLOBAL PUBLIC HEALTH INTERNSHIP BUDGET TEMPLATE
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Note: Please navigate to 'file' > 'make a copy' to save this template to your own Google Drive. Please enter the TOTAL budget estimated to complete your internship on line 41, and the amount you are requesting from GPH on line 43/44
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About You and Your Internship
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Your Name and Academic Program:
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Internship Destination or Format: City, State, Country or note Remote or Domestic
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Proposed Dates: Start Date (mm/dd/yyyy):
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 End Date (mm/dd/yyyy):
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Total Number of Weeks:
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Internship Budget
Amount in USD$Please use this column to explain the expense listed, and how you came up with the requested amount. Not all categories may apply to your internship. You may also add categories that we have not listed for consideration, add attachments or links to justify requests. However, please note that not all listed costs may be eligible for funding.
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Visa Expenses (if applicable)
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Visa Photos
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Visa Fee(s)
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Travel Expenses
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Round Trip Airline Ticket and Baggage Fees Please attach a screenshot of flight estimate(s) and itinerary.
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Airport transportation (Inbound & Outbound)
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Hotel for layover (if applicable)
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Daily Transportation
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Accommodations
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Lodging (____ weeks @ $______ per week)
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Meals (___ weeks @ $___ per week)
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Utilities
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Health & Medical Expenses
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BCBS Global Solutions Travel Abroad Health Insurance (____ days @ $1.88 per day)*Required by the University for ALL students traveling abroad, if you are extending your travel beyond the end of your internship, you must also extend your BCBS Global Solutions coverage until your return date to the U.S.
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BCBS Global Solutions Travel Abroad Health Insurance one time administration fee5.00*Required by the University for ALL students traveling abroad
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Immunizations/Vaccines recommended by the CDC and your provider (check your insurance coverage first)
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Travel Medications recommended by your provider (antibiotics, malaria prophylaxis, over the counter travel medications, etc.)
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Other expenses
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International phone plan/SIM card/Data as applicable *For safety purposes, we recommend securing cellular service so you can make calls, even in areas with no WiFi access
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(describe)
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(describe)
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Research-related Expenses (If applicable)
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(describe)
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(describe)
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Total Cost of the Internship5.00
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Amount your are requesting from Global Public HealthYou may request up to $7,000 for international travel; Up to $5,000 for remote or domestic internships
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Other Requests for Funding (Submitted or planning to submit)
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(name of Source)($ requested)Enter expected Notification Date
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(name of Source)($ requested)Enter expected Notification Date
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(name of Source)($ requested)Enter expected Notification Date
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(name of Source)($ requested)Enter expected Notification Date
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(name of Source)($ requested)Enter expected Notification Date
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 Total pending requests from other sources0.00
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Total Requests Submitted (including GPH + other funding sources)
This amount should equal or exceed the total cost of your internship calculated on line 41
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