Request a Station Reimbursement

The Indiana Broadcasters Association offers funding for a limited number of paid internships in television news producing, radio/TV sales, and broadcast engineering. These internships give college students valuable hands-on experience at IBA member stations while helping stations mentor the next generation of broadcasters. If your station has provided a qualifying internship, you can request reimbursement for the cost by filling out the form below.

IBA Internship Reimbursement Application

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