LACC Internship Minigrant 2022-2023
LACC Internship Minigrant 2022-2023
This is your form description. Click here to edit.
First Name
*
Last Name
*
Declared Major
*
Semester of Anticipated Graduation
*
Panther ID#
*
Email Address
*
Phone
Phone
*
-
###
-
###
####
Are you a first-generation college student? (Neither parent completed a college degree)
*
Are you a first-generation college student? (Neither parent completed a college degree)
No
Yes
Are you a Pell Grant recipient?
*
Are you a Pell Grant recipient?
No
Yes
Identified but have not yet applied
School or Internship Program
*
Location of your internship
*
Date of Anticipated Departure
Date of Anticipated Departure
*
/
MM
/
DD
YYYY
Date of Anticipated Return to the U.S.
Date of Anticipated Return to the U.S.
*
/
MM
/
DD
YYYY
Description of your internship
*
How does this internship further your educational knowledge, skills, and/or career goals?
*
Amount requested for mini grant (up to $2,000)
*
$
Dollars
.
Cents
Budget (a brief description of your anticipated budget)
*