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First Name
Last Name
Student ID Number
Email Address
Phone Number
Major(s)
Minor(s)
Year in School (1st year, 2nd year, 3rd year, 4th year, etc.)
Please list current GPA.
Are you a previous Summer Internship Award recipient?
Yes
No
Have you secured an internship yet? (This will not effect whether or not you get an award)
Yes
No (haven't started)
In the process (interviewing, finalizing offer, etc.)
Anticipated Dates of Internship. Include the start and end date.
Internship Organization Name.
What is the geographic location you will intern in? (City, state, country, Virtual/Remote etc.)
Is the organization you plan to intern with a Colorado non-profit or a government organization?
Yes
No
Not sure
Short Description of Internship Organization (no more than a paragraph).
If you receive an award, how do you plan to use it? Check all that apply.
Rent and/or housing
Food
Transportation
Travel required for internship (including plane, public transit or car)
Books
Other
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