Beyond Completion Grant Application
          There are four parts to the application. In addition to this document, you will also need to submit
          letters of support from your Carolina Covenant Mentor, the supervising professional(s) letter of
           commitment, and the budget form for a total of four distinct documents. Templates for these
                    documents can be found on our grant application webpage.
         Q1 First and Last Name:
            ________________________________________________________________
         Q2 PID:
            ________________________________________________________________
         Q3 UNC Email Address:
            ________________________________________________________________
         Q4 Home State:
            ________________________________________________________________
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       Q5 Transfer Student?
       oYes  
       oNo  
       Q6 Class year entering this summer experience:
       oFirst year  
       oSophomore  
       oJunior   
       oSenior  
       oMay 2022 Graduate  
       Q7 Please select the type(s) of summer experience(s) that best describes the experience for 
       which you are seeking funding. You may highlight or mark with X:
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       ▢Internship  
       ▢Research Assistantship  
       ▢Teaching Assistantship  
       ▢Global/Abroad Experience  
       ▢UNC Chapel Hill coursework specifically about career development in your field  
       ▢Service  
       ▢Conference  
       ▢Other (Please name or describe the experience in a few words): 
        
       Q8 Will this experience be in-person or remote?
       oIn-person  
       oRemote  
       oHybrid of the above  
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       Q9 Will you be enrolled in any courses at UNC Chapel Hill this Summer 2022?
       oNo  
       oYes  
       Q10 Please add your signature (using a script font or an image of your written signature) to 
       certify that you have reviewed the COVID policy associated with this experience and agree to 
       the terms outlined:
       Q11 In 3-5 sentences, please describe the experience for which you are seeking funding. Share
       what the experience is focused on, and how you will be engaging with others on real projects or 
       tangible learning, focused explicitly on professional development relevant to your field of 
       interest:
         ________________________________________________________________
         ________________________________________________________________
         ________________________________________________________________
         ________________________________________________________________
         ________________________________________________________________
       Q12 Please provide the full name of the institution, company, or organization your experience is 
       hosted by:
         ________________________________________________________________
       Q13 Please provide the full name of the person or persons at this organization who will 
       supervise this professional development experience for you this summer:
         ________________________________________________________________
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