IBHE Cooperative Work Study Application

IBHE Cooperative Work Study Application

Eastern Illinois University shares the Illinois Board of Higher Education (IBHE)'s strong commitment to reaching underrepresented and underserved students in higher ed. We believe that the best way to transform lives is through helping students to not only attain their degrees, but also see themselves as key participants in strengthening the future economy of Illinois. Thanks to a grant from IBHE, EIU is able to award a limited number of IBHE Cooperative Work Study Grants to qualified students. Successful applicants will be paid for their internship hours completed at a qualifying partner organization or business.

Applicants must meet these minimum requirements:

· undergraduate currently enrolled at EIU

· resident of Illinois

· required to complete an internship (for academic credit) at a qualifying partner agency

· have an internship that is unpaid without this award

Priority will be given to the following majors: Public Health, Health Administration, Health Sciences, and Human Services.

Deadline for applications:
September 30, 2026 for fall
December 1, 2026 for spring
May 4, 2027 for summer

Name Name First Last
Middle Initial
Enumber
Panthermail
Alternative Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Date of Birth / MM / DD YYYY
I confirm that I meet all of the minimum requirements for this grant. I am:

An Illinois resident

Required to complete an internship for course credit in order to fulfill my major requirements

Eligible to complete an internship at an approved partner institution (Sarah Bush Lincoln Health Center, Prevail Illinois, Edgar County Health Department, Douglas County Public Health Department, Effingham County Health Department, Clay County Health Department, Morgan Park Healthcare, YWCA Metropolitan Chicago, The Land Connection, Hour House, Kankakee Forgives

I confirm that I meet all of the minimum requirements for this grant. I am: An Illinois resident Required to complete an internship for course credit in order to fulfill my major requirements Eligible to complete an internship at an approved partner institution (Sarah Bush Lincoln Health Center, Prevail Illinois, Edgar County Health Department, Douglas County Public Health Department, Effingham County Health Department, Clay County Health Department, Morgan Park Healthcare, YWCA Metropolitan Chicago, The Land Connection, Hour House, Kankakee Forgives Yes
Ethnicity
Gender
Year in college
Are you a first generation student? First generation means neither your parents nor grandparents graduated from college.

Are you a first generation student? First generation means neither your parents nor grandparents graduated from college. Yes No Not sure
Major

Major Public Health Health Administration Human Services Health Sciences Other
Is this internship required for your degree completion?

Is this internship required for your degree completion? Yes No
How many hours will you need to complete the internship?

How many hours will you need to complete the internship? 120 240 320 Other
Where do you plan to secure an internship?

Where do you plan to secure an internship? Clay County Health Department Douglas County Public Health Department Edgar County Health Department Effingham County Health Department Prevail Illinois Kankakee Forgives Lifelinks YMCA Mattoon Hour House The Land Connection Sarah Bush Lincoln Health Center YWCA Metropolitan Chicago Morgan Park Healthcare Other: name the organization that is seeking approval as an EIU partner; direct your organization to contact Bobbi Kingery, Director of Career Services: rkingery@eiu.edu or 217.581.2412.
When will you have confirmation of your internship? Indicate whether you have already been offered the internship and accepted it.
Agency Address:
Agency Supervisor:
Supervisor Email:
Supervisor phone:
What hardships will an unpaid internship cause you?
Please provide us with a very brief statement of future employment goals, including location. This grant is intended to encourage students to build employment relationships in the state of Illinois.
What strategies will you use to make the most of your internship experience?
Upload your resume
Do you agree to be evaluated and give permission to share information in the application with the grant administrator and with IBHE?

Do you agree to be evaluated and give permission to share information in the application with the grant administrator and with IBHE? Yes
Direct questions to Dr. Nikki Hillier, Department of Public Health and Nutrition: nhillier@eiu.edu or Mrs. Julie Harper, Department of Human Services: jrharper4@eiu.edu.

You will be notified of a decision within a week of the due date for submission.
What semester will you complete your internship?

What semester will you complete your internship? Fall 2026 Spring 2027 Summer 2027
Have you been employed with Eastern Illinois University before?

Have you been employed with Eastern Illinois University before? Yes No
Are you an international student?

Are you an international student? Yes No
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.