2025 Loman Financial Aid Application

Internship Information and Required Materials
Company Name*
Internship Title:*
Internship Location:*
Are you relocating to this city/town for the duration of your internship or will you be commuting?*

RelocatingCommuting
Internship Description (URL or unofficial description from company accepted)*
Internship Coordinator Name (Company Contact)*
Internship Coordinator Email (Company Contact)*
example@example.com
Internship Coordinator Name (University Contact - if applicable)
Registered for internship credit?*

YesNo
Internship Duration - # of Weeks*
# of Hours Per Week*
Internship Start Date*

MonthDayYear
Date
Internship End Date*

MonthDayYear
Date
Complete College Transcript (Unofficial Copy Accepted)*

Cancelof
Official Acceptance Letter or Internship Offer (If you have not yet accepted )*

Cancelof
Letter of Recommendation (Must be from internship coordinator, professor or interning company)*

Cancelof
Personal Statement (Statement should include the following: career goals, how the internship will benefit those goals, why you selected an insurance industry internship, and the impact financial support has on your ability to participate in the internship)*

Cancelof

Financial Information
Financial Status: Approximately what percent (should total 100%) of your current school year expenses are provided by:*
Please provide additional details (optional):
Expense(s) Worksheet
To understand the financial aid needs of applicants, please provide an overview of expenses related to your internship, such as housing, transportation, business attire, etc. This is for informational purposes only.
Expense # 1
Expense #2
Expense #3
Expense #4
Expense #5
AUTHORIZATION: I authorize the CPCU Society to provide my name and basic contact information to CPCU Society members for mentoring and other career building opportunities.

YesNo
Signature

Clear
DISCLAIMER:

I certify that all the information I have provided on this application is true, correct and complete. If granted this financial aid, I will only use it for expenses related to my internship experience.

I further authorize The Institutes to obtain additional information to verify the content of this application.

If granted the financial aid, I am willing to participate in a follow-up review of my experience with the CPCU Society.
IMPORTANT NOTE:

If granted this financial aid, please note that the full amount is taxable under IRS Publication 970 and must be reported on the applicable tax return.
Should be Empty:

Internship Information and Required Materials