Wesleyan University Summer Experience Grant

Student Acceptance Form

*Red fields are required.

First Name:		Last Name:
WesID:		Class Year:

By checking this box, I confirm that I am accepting the Wesleyan University Summer Experience Grant award in the amount of (please fill in the amount you were awarded).

Name of Sponsor:
Organization Name:
Organization Address:	Line 1 Line 2 , ,
Sponsor Phone:
Sponsor E-mail Address:
Sponsor Fax:

Dates of employment (8-week minimum):
From to .

I understand I will receive a check in May for $500 less than my approved budget. The additional $500 will be given to me after I turn in my evaluation on or before Monday, September 9, 2008.

This award is contingent upon my approval as a financial aid recipient by the Financial Aid Office at Wesleyan. I agree to notify the Career Resource Center immediately if I do not fulfill this employment contract or earn more than stated above and in my original proposal. I also agree to contact the Career Resource Center if any other terms of this agreement change in any way.

Please check this box to certify you have read and agree with the above information.

This form must be returned to the CRC by Wednesday, April 23, 2008.

Career Resource Center 25 Lawn Avenue, Butterfield A Middletown CT 06459 860.685.2180 fax 860.685.2181 crc@wesleyan.edu