Career Development Fund Application 

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Applicant Information



If different from "First Name"




Format +1(555)-555-5555

Format MM/DD/YYYY







5 Digit US ZIP Code. If address is outside of the US or the US affiliated Pacific Islands, please enter 00000



Education






Major
Please select your major from the following drop down list




Additional Questions



Additional Questions
If you have prior internship, externship, or fellowship experience, please share in the fields below. If you would like to add an additional prior experience, select Add another response down below!





(Max 150 words)
Career Development Opportunity Details







Where will you be residing during this opportunity?









$
List either the hourly rate OR Stipend amount

hrs/week



Tell Us More About This Opportunity 

(Max 200 words)

(Max 200 words)
Financial Need & Funding Request 


Funding Categories

Housing & Utilities
$
Amount Requested

Transportation/Relocation Assistance
$
Amount Requested

Food Assistance
$
Amount Requested

Health Insurance
$
Amount Requested

Child/Dependent Care
$
Amount Requested

Workplace Attire
$
Amount Requested

Technology
$
Amount Requested


$
Total Maximum $2500
Supporting Documentation
To process your application, please upload the following required documents: 
 
Proof of Acceptance: Please provide official documentation verifying your acceptance into the career development opportunity. Acceptable forms of documentation include an offer letter or other official confirmation from the sponsoring company/organization. 

If submitting an offer or acceptance letter, it must: 
  • Be on official organization letterhead 
  • Include your name
  • Clearly state the date of acceptance and relevant program details 
  • State the hourly rate or stipend you will be receiving (unless unpaid)  
If an official letter is not available, please provide alternative documentation along with a brief explanation. 

 

APIA Scholars will only consider requests with proper documentation.  

Terms and Conditions 

By submitting this form, you agree to use any funding awarded solely for the category for which you applied and have been approved for. You acknowledge that any potential tax implications in accepting these funds are your sole responsibility to determine and follow all rules and regulations in accordance with applicable tax laws. APIA Scholars does not provide any tax guidance. APIA Scholars is not responsible for any damages or claims that result from your receipt or use of this funding.  

You understand you will be required to submit receipts demonstrating how any funds awarded were used. You must ensure submitted receipts reflect the amount given as closely as possible and are itemized demonstrating your use of funds for the approved purpose. Funds explicitly designated towards providing food assistance are exempt from this requirement. You understand it is your responsibility to submit the appropriate receipts to APIA Scholars in a timely manner after receiving and using the funds.  

You acknowledge that APIA Scholars is not responsible for the terms, conditions, or experiences associated with your career development opportunity. You understand that you are solely responsible for any additional expenses beyond the funding awarded and for ensuring that all funds are used in compliance with the program guidelines. 

You understand you will be required to submit a written report detailing your career development experience upon completion. APIA Scholars may also offer optional engagement opportunities, such as sharing photos or participating in virtual meetings with fellow or future recipients. Additional program expectations and engagement opportunities may be introduced, and recipients will be notified in advanced of any required commitments.  

Please type your name to confirm your acceptance of these terms as described above.   

Eligibility Notification
Based on your responses to the questions provided, you may not be eligible for this application at this time. If you have any questions, please contact us at connect@apiascholars.org
Eligibility Notification
Unfortunately, we are only able to fund APIA Scholars who are currently pursing an undergraduate degree. We are unable to fund those who have already graduated.
 
If you have any questions, please contact us at
connect@apiascholars.org