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Internship Interest Form

Company/Organization Name:*

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Website:

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Type of business or organization?

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First Name*

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Last Name*

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Email Address*

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Phone Number*

Number Required

Are able to offer an internship?

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Non-Paid

Paid

Summer, Paid

Other

What is the internship age requirement?

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Any other requirements for this internship? For example, minimum GPA, driver's license, etc.

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How do you expect students will benefit from an internship with you?

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Are you able to offer a job shadow?

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Yes

Maybe, with support

Not a this time

What is the job shadow age requirement?

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How do you expect students will benefit from a job shadow with you?

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Confirmation Email

Confirmation Email *

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