IIC Intern Budget Submission

Intern Name*

FirstLast

Intern Type*

SUU Student (Summer)SUU Student (Fall/Spring)Non-SUU Student (Students from Other Universities, High School Students, Recent Graduates, etc.)Out of State Internship (Non-student/SUU Student Interns working outside of Utah)

Agency*

Location*

Benefit rates will vary by worksite location. If you know your work site-specific rate, please enter the percentage into the box below. Otherwise, enter 15%.

Please also note there is a $15 payroll processing fee per pay period.

Out-of-State Benefit Rate (%)*

Budget Start Date*

Budget End Date*

Payroll Processing Fee*

Pay Periods*

Total Payroll Processing Fees*

Agreement Number*

Agreement Manager/Account Title*

Account Manager Email*

Mentor Name*

FirstLast

Mentor Email*

Project codes are required for all National Park Service budgets. Optional for Forest Service and Bureau of Land Management.

Project Code

Available Funds*

Daily Hours*

Hours Per Week*

Hourly Pay*

Bonus*

Travel Cost*

Hotel Cost*

Per Diem*

Training/Equipment/Uniform Cost*

FICA + Medicare Summer/Non-Student Rate

FICA + Medicare Spring/Fall Rate

Out-of-State FICA + Medicare Rate

Active FICA + Medicare Rate

Worker Compensation Summer/Non-Student Rate

Worker Compensation Fall/Spring Rate

Worker Compensation Out-of-State

Active Worker Compensation Rate

Unemployment Summer/Non-Student/Out-of-State Rate

Unemployment Fall/Spring Rate

Active Unemployment Rate

Benefits Rate Summer/Non-Student

Benefits Rate Fall/Spring

Available for Hourly Pay

Hourly Cost

Benefits Rate

FICA + Medicare

Worker Compensation

Unemployment

Gross Intern Pay

Hours Available

Days Available

Estimated End Date

Budget Estimations