Feinberg Family Fund Application

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Scholarship Application

SUNY Oswego Feinberg Family Professional Fund Application

The Feinberg Family Fund at SUNY Oswego was created in 2003 by Robert Feinberg ’78 and his wife, Robbi. As of 2019, the fund has grown to support SUNY Oswego students seeking professional and academic experiences to further their co-curricular career goals including internships, co-ops, and various professional development opportunities.

Please review the Feinberg guidelines on our Internship/Co-op and Professional Development Funding Opportunities website for the full application requirements and details.

All questions must be completely filled out in order for the committee to review this application. Missing information could lead to the request being denied.

Review Status

STUDENT INFORMATION

Name*

First Name*

Last Name*

SUNY Oswego ID#*

Cell Phone*

Home Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Academic Information

Current Student Status (as listed in myOswego)*

Freshman Sophomore Junior Senior Graduate

Major*

Second Major*

Minor*

Second Minor*

EXPERIENCE DETAILS

Experience type - You may choose more than one, but you will need to be specific for each separate request and will not be granted more than a total of $750*

Internship Funding (up to $500) Conference or Professional Development Registration Fee (up to $250) Examination and Certifcation Fees (up to $250) National Professional Organization Membership or National Honor Society Dues (up to $100)

Other: Other Value

If you selected other, please give specific details about the experience, funding being requested, and type of documentation or receipts you can provide.*

Semester/Term experience will be completed*

Fall Semester Winter term Spring Semester Summer Semester

Year (must be within current academic year)*

INTERNSHIP DETAILS (Limited to $500)

Internship Site*

I am currently in the following Phase in the Internship process as outlined on oswego.edu/internships (please do not complete this application until you have completed at least Phase 3).*

Phase 1 - Still Planning Phase 2 - Began to apply to internship sites Phase 3 - Found a site and my Supervisor has filled out the Verification Form Phase 4 - I have received information from EXCEL and have begun my learning agreement Phase 5 - I am registered for my internship through EXCEL and am in the process of starting or completing hours

I am requesting funding for the following and understand I will need to submit receipts and proper documentation before funding will be released:*

Mileage back and forth from Internship (requires detailed mileage log that coincides with timesheets submitted to EXCEL) Winter or Summer Credits for Internship Course Transportation costs at my internship such as Subway, Bus, or Parking Pass

Other: Other Value

Please give details and specifics about your internship that will help the committee better understand your funding request. (ie. mileage from your residence to the site, number of internship credits you plan to take in Summer or Winter or type of transportation pass requested and cost)*

Amount requested up to $500 to support my internship:* $

CONFERENCE OR PROFESSIONAL DEVELOPMENT DETAILS (limited to $250 registration fees)

Please describe the Conference or Professional Development Opportunity you are requesting funding for. Please include Name of event, organization hosting event and date (s) of the event. You will need to provide a receipt of the registration fee.*

Please give a website to the conference or professional Development opportunity.*

Amount requested up to $250 to support conference registration or Professional Development* $

Examination and Certification Fee Request Information (limit up to $250)

Examination or Certifications*

GRE MCAT Exam LSAT Exam Education Certification Exam (s) CPA Exam Graduate School Application fee (s) (limit to 2)

Other: Other Value

Outline costs for each exam requested (if there is a link to that information, please provide that too). Receipts for payment will need to be submitted prior to reimbursement.*

Amount requested up to $250 to support Examinations or Certifications* $

National Professional Organization Membership or National Honor Society Dues (limit up to $100)

Name and Description of Organization or Honor Society*

Provide a link to the Organization's website and membership fees (receipts of payment will need to be submitted before reimbursement)*

Amount requested up to $100 for Dues* $

Faculty Sponsorship and Support

In 3-5 sentences, please describe how this experience and funding will specifically assist you in the progression towards your academic and/or career goals:*

Name of Faculty who is Sponsoring your Internship or can confirm this experience has academic value and relevance to your degree and career goals.*

First Name*

Last Name*

Faculty Email Address*

Total amount of Funding Requested from all sections

Please describe other funding sources you have applied to or know you will receive towards this opportunity (ie. Grants, scholarships, assistance from famiy, etc.)*

Total Amount of Funding requested (limited to $750 per student per year)* $

Documentation and Requirements

All students that are approved to receive awards from the Feinberg Family Professional Fund will be asked to provide photos, testimonials, and may be asked to be a part of a panel/presentation about their experience. Students will also be required to provide a written thank you note to the Feinberg Family. Receipts and documentation as outlined above must be submitted before any funds will be released.

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