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Internship Interest Form

Company/Organization Name:*

Answer Required

Website:

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Type of business or organization?

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First Name*

Answer Required

Last Name*

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Email Address*

Answer Required

Phone Number*

Number Required

Are able to offer an internship?

Answer Required

Non-Paid

Paid

Summer, Paid

Other

What is the internship age requirement?

Answer Required

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

Answer Required

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

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Are you able to offer a job shadow?

Answer Required

Yes

Maybe, with support

Not a this time

What is the job shadow age requirement?

Answer Required

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

Answer Required

Confirmation Email

Confirmation Email *

Email Required