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Program

In the chart, please indicate which program you are applying for by typing in the year for which you are applying:

Fall Semester Spring Semester Summer
Year

  • Students participating in the Semester Program will obtain 16 credits. 6 credits for their Internship and 10 credits for their Academic Courses.

  • Students participating in the Summer Program can choose to obtain credits for an Internship (1-6) or to complete the program by itself for no credits. No Academic Courses are offered in the summer. If you selected Summer above, indicate here how many credits you would like (0-6):

Scholarship Opportunities


If you intend to apply for a need-based scholarship, please check here and a scholarship application form will be emailed to you.


Personal Information



Applicant
First Name:*
Last Name:*
College:*
Gender:


College Address
Address
City
US State
Zip Code
Phone
Email


Home Address
Address
City
US State*
Zip Code*
Phone
Email


Birth Information
Date of Birth*
Birthplace*
Citizenship*


Education
Major*
G.P.A.*
Present Class
 1st   So   Jr   Sr


College Advisor
Name*
Department*
Phone*
Email


ADDRESSES: Full Names, Addresses and Phone numbers of Parents or Guardians:



Parent/Guardian
Name*
Address*
City*
US State*
Zip Code*
Home Phone*
Work Phone
Email


Parent/Guardian
Name
Address
City
US State*
Zip Code
Home Phone
Work Phone
Email


Emergency Contact
Name*
Address*
City*
US State*
Zip Code*
Home Phone*
Work Phone
Relationship*


At which address would you prefer to receive IPI materials?  College  Home