Online Internship Application Form

INTERNSHIP FELLOWSHIP PROGRAM

Black Chamber Of Arizona
About the Program

The Impact Fellowship is a six-month internship program powered by the Black Chamber of Arizona designed for college students and recent graduates who want to build professional skills while making a difference in their community. Interns gain hands-on experience in areas like marketing, media, events, communications, and research while contributing to projects that support inclusive economic growth across Arizona.

Program Dates: September 15, 2025 – March 15, 2026
Time Commitment: 10–15 hours/week · Hybrid format
1. Full Name

First NameLast Name
2. Preferred Name
3. Gender

Other
4. E-mail
example@example.com
5. Phone Number

Area CodePhone Number
6. University
7. Major/Program of Study
8. Year in School
9. Expected Graduation Date (or Date Of Graduation if you graduated within the past year

MonthDayYear
Date
10. LinkedIn Profile (optional)
11. Upload Your Resume (PDF preferred)

Browse Files

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Creative Prompt

Choose one to respond to
20. We’d love to hear your ideas and perspective! Please select one prompt below and then provide a short response. (Please select your choice first, response box follows after their selection.)
21. Please answer only the option you selected above. Keep your response to a maximum of ~300 words.

References

Please share the name and contact information of three references (Academic, Professional, and Community Based)
Academic Reference

First NameLast Name
Email Address
Professional Reference

First NameLast Name
Email Address
Reference 3

First NameLast Name
Email Address
Should be Empty:

Internship Interest & Skills