Berry Career Institute Funding Application

Prior to completing the application for funding, please review eligibility guidelines and the application checklist.

Priority is given to students who have not yet received funding for experiential learning. If you have received funding in the past or if you intend to pursue additional funding in the future, this could affect the decision of the committee. If you have questions about how past funding affects your application or how possible future funding could be affected, please contact Dgrimm@cornellcollege.edu for more information and to set up an appointment.

Application for Funding

Student Name:

Student ID #:

I am interested in a career in a healthcare-related field:

Yes No

I am interested in a career in a law-related field:

Yes No

I am a first generation college student (my parents do not have a four year degree):

Yes No Prefer not to respond

Type of Experience:

If Other* explain:

Student's year in school:

Student's major(s) and minor(s) fields of study:

Date/block of experience:

Site Name:

Site Location (City, State, Country):

Detailed description of experience:

If an internship, will you receive any kind of compensation?:

Yes No N/A

If yes, what is the amount of compensation? :

Please list the courses you have taken at Cornell or elsewhere that have helped prepare you for this experience:

Please upload a 600-900 word personal statement. This statement should provide background on the site, your qualifications, and how this experience relates to your career goals:

If internship: provide a job description written by the internship site. If this experience is not an internship: provide a description of the experience and your role in it. This should be written by the site if possible:

Please upload an excel budget using the template below**:

Please upload your Berry Career Institute approved resume:

Please upload your unofficial transcript:

By submitting this completed application including personal statement, budget, resume and transcript, I have read the Ingenuity in Action Funding Requirements. I agree to the terms and will submit all required materials prior to the start date of the experience. If I do not submit the required material within one month following completion of the experience, I will forfeit the remainder of my stipend and will repay money already disbursed:

I understand and agree to these stipulations.

* Required Field

**BCI Funding Budget Template

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