Community Foundation Internship (CFI) Application

Email address of community foundation staff person completing this application

To complete this application, you must have an IPA website account, which can be requested here: https://www.inphilanthropy.org/user/register

Name of Community Foundation

If you are part of an affiliate organization, please apply under the name of the parent organization.

Student/Intern Contact Information

Intern First Name

Intern Last Name

Intern Mobile Phone

Intern Personal Email

Intern Permanent Home Address

street address, city, state, zip code

Student Academic Information

Is the student currently enrolled in an Indiana Accredited College/University?

YesNo

College/University

To meet eligibility requirements, the student must be enrolled in an Indiana accredited college or university that is geographically located in Indiana.

Please indicate the college or university:

Expected Graduation Year

Student must have completed their freshman year as of the first day of the internship.

Degree Currently Pursuing

Primary Area of Study

Please indicate the area of study:

About this Internship (for this semester)

Anticipated Start Date of Internship

Anticipated End Date of Internship

What type of work do you anticipate this student being involved with during their internship?

Hold CTRL to select multiple options.

Describe other work here:

Complete the fields below to determine your estimated grant amount. Hours and weeks should reflect work within the semester (Fall, Spring, Summer).

Hourly Rate

Estimated Hours Per Week

Estimated Number of Weeks

9% Payroll Tax

Estimate of Grant Amount Requested

$

This is an estimate. Payment will be based on the actual totals you include within your final report. Final reports are due at the end of this internship for the semester, and payment will be sent upon approval.