California Broadcasters Foundation
Intern Scholarship Application Form

Who We Are: The California Broadcasters Foundation is a nonprofit corporation composed of radio and television stations in California. The Foundation Board of Directors awards two $500 scholarships to radio interns and two $500 scholarships to television interns each semester.

Who Can Apply: Any enrolled college student working as an intern at any California Broadcasters Foundation or Association member radio or television station. There are no minimum hours per week requirements. Immediate family of current Foundation Board Members are not eligible.

How To Apply: Complete this application and submit the typed original and two copies along with a letter from the station manager recommending the intern for consideration. More than one intern may apply from each station. Application deadline is 5:00 p.m. on June 18, 2004 (Fall Semester) and December 10, 2004 (Spring Semester).


Personal Data

Name:


Address:


Phone:


I am working as an intern in:     Radio    Television
Station Call Letters & Address:



I certify that I am enrolled in a college or professional trade school during the current semester. I understand this Foundation scholarship can only be used as reimbursement for educational fees, books and supplies up to $500. I will submit the appropriate receipts or proof of payment prior to scholarship receipt.

Signature:____________________________________________________ Date:______________

Educational Background

List: