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Summer Internship
Student's Name
Student's Penn ID
Student's Penn Email
Do you authorize Disability Services to determine your financial eligibility for scholarships? Only your name and type of scholarship for which you qualify will be shared with Student Registration and Financial Services. There will be no disclosure about your disability.
yes
No
Are you receiving financial support from any other Penn departments or external sources for this internship?
yes
no
If you are receiving financial support, what is the source of the additional financial support and how much will you receive?
Outline all anticipated costs for your summer opportunity and provide an estimated amount for each expense.
What is the total anticipated cost of the summer internship?
Name and location of internship.
Provide the offer letter from the internship site.
Is the internship paid or unpaid? If paid, what is the salary or stipend?
Total amount of your funding request?
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