IBA Member Internship Participation

Member stations are eligible for a $2,000 reimbursement for paying interns from IBA member colleges in the areas of television news producing, broadcast engineering, and radio/TV sales. Stations are expecting to pay students during the experience. Submitting this form prior to the start of the internship and an accounting of the amount paid to the student at the conclusion of the internhip is necessary for IBA to reimburse the cost of hosting the intern.

Station Internship Information

Station Call Letters(Required)

City of License(Required)

Station Contact Information

Contact Name(Required)

First Last

Title(Required)

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Intern Information

Name(Required)

First Last

Phone(Required)

Email(Required)

School that Intern Attends(Required)

Type of Internship(Required)

Internship Information

Start Date of Internship Experience(Required)

End Date of Internship Experience(Required)

Number of Total Contact Hours for Experience(Required)

Hourly Reimbursement Rate(Required)

Please provide proof of employment and the total amount paid to the intern for this experience.(Required)

Drop files here or

Max. file size: 50 MB.

Please provide a copy of the station’s current W9 form(Required)

Drop files here or

Max. file size: 50 MB.

Station is airing, or agrees to air moving forward, the minimum required IBA Public Education Program announcements each month.(Required)

Yes

No