Employer Application for Internship Program

Please submit the below form to outline preliminary details of the program proposed and determine roles and responsibilities for the intern(s):

Mailing Address *
Mailing Address
Phone *
Term of Internship Needed *
check all that apply
Paid? *
Provide a brief description of your business
Please list any specific knowledge, skills or abilities necessary to perform this internship (as well as expectations for work attire)
Please list appropriate days/times to intern and any unusual schedule requirements
Please indicate the application process, including required materials, point of contact, selection process
Length and deadlines of internship are at the employer's discretion. For suggested program dates, please refer to the following:

*Fall: 10 week program
Apply By: September 9, 2016
Start Date: September 19, 2016
End Date: December 2, 2016
Week of Nov. 21 excluded for Thanksgiving break.

Spring: 10 week program
Apply By: January 20, 2017
Start Date: January 30, 2017
End Date: April 21, 2017
Weeks of Mar. 6 and Apr. 13. excluded for Spring and Easter breaks.

Summer: 10 week program
Apply By: February 17, 2017
Start Date: May 15, 2017
End Date: July 21, 2017