Judy L. Kelsey Memorial Fund application form

The California City Management Foundation (CCMF) launched the Judy L. Kelsey Memorial Fund award program in Summer 2020. Each program year, CCMF will grant an award of five thousand dollars ($5,000) each to two (2) California cities/towns to enable summer internships.

Please complete the application form below by 5:00 p.m. PST on Friday, April 30, 2021. Entries are limited to one per City/Town. CCMF will aim to announce the winners in May 2021. If you do not see the form below or have other technical issues, please contact us.

A committee from the CCMF Board of Trustees will review applications and determine the two winners based on, but not limited to, these criteria:

Perceived socioeconomic need for an internship
Strength of short answer response, particularly the anticipated impact of the work
Applicant’s agreement to provide a report and proof of how funds were spent

CCMF will distribute award funds to winners as reimbursement following completion of their internship program and submission of proof of award usage.

Judy L. Kelsey Memorial Fund application form

Full Name*
First Last
Your City/Town Agency*
Email Address*
Work Phone*
How would an intern help your city/town?*
In the box above, explain specifically: (1) What your summer intern would be working on, and (2) The benefit of that work to your City/Town/community.
Reporting*
- Select All
- I agree to notify CCMF when intern is hired.
- I agree to provide a photo of the intern on the job.
- I agree to provide CCMF with an end-of-internship report detailing the work the intern performed.
- I agree to provide CCMF with proof that the Award was directly used to fund the internship and not any other City services/programs or personnel.
Are you a human?
Email
This field is for validation purposes and should be left unchanged.