Funding Considerations� I have considered what my budget is for interning abroad.� I would like to learn more about funding opportunities through IIP. � I have financial aid or other funds available to me.

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Regions of Interest (choose multiple):� North America� Central/Eastern Europe� Western Europe� Australia/New Zealand

� East Asia� Central/West Asia� South or Southeast Asia� Pacific Islands

� Middle East/Northern Africa� Sub-Saharan Africa� Latin America� Caribbean Islands

Why are you interested in this/these regions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Setting:� Urban� Suburban/city � Rural/village/farm� Not sure/other

Housing:� Apartment with/without roommates� Dormitory� Hostel or hotel� Homestay with local family

I am willing to intern in the following condition(s):� Absence of speakers of my language(s)� Being a minority (racial, ethnic, religious, etc.)� Disagreeable social or political conditions (discrimination, censorship, etc.)� Limited internet access� Limited electricity� Limited food options/availability

The International Internship Program identifies, cultivates, and promotes high-qualityinternship opportunities abroad for UW-Madison undergraduate students. Use thisquestionnaire to guide your internship search prior to meeting with an IIP advisor.

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Fields of interest (choose multiple)� Accounting � Agriculture/Life Science � Arts/Design � Communications � Cultural/Historical Preservation � Customer Service � Economic Development � Education � Engineering� Fashion� Finance� Government� Healthcare

� Human Resources � Human/Civil Rights � IT/Computer Technology � Journalism � Legal Issues � Marketing � Product development � Research � Science � Sustainability � Translation � Women’s Issues � Not sure/Other: .......................................

Types of organizations:� Non-profit/NGO� Local for-profit company� Multinational for-profit company� K-12 or vocational school� University or research institute� Grovernmental agency/program� Not sure/other: .......................................

Level of independence:� I feel comfortable traveling and living on my own. � I prefer to be with at least one other student.� I prefer to be in a group of students.

Term:� Summer 20 ..... ..... � Spring 20 ..... ..... � Fall 20 ..... .....

Duration:Minimum ....... weeks/months Maximum ....... weeks/months

Skills and Expertise

I can contribute: 1 .......................................................................... 2 ......................................................................... 3 .........................................................................

I would like to develop: 1 .......................................................................... 2 ......................................................................... 3 .........................................................................

Internship Goals

Personal/Professional Goals: 1 .......................................................................... 2 ......................................................................... 3 .........................................................................

Academics:

Language skills:� I want to do an internship in English.� I would like to use my language skills.

� I want this internship to fulfill a degree requirementfor my major. We strongly encourage you to speak with youracademic advisor about degree requirements.

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