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Information Technology Internship Program
Employer Information Form
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Name of Organization:
*
Your answer
Nature of Business:
(e.g. education, consultancy)
Your answer
Organzational Website:
Your answer
Contact/supervisor Person:
*
Your answer
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip:
*
Your answer
Telephone:
*
Your answer
Fax:
Your answer
Email:
*
Your answer
Are you interested in more information about the IT Internship program?
Yes
No
Clear selection
Are you interested in hiring an IT Intern?
Yes
No
Clear selection
If you are already working with an IT student to set up an internship, please provide the student's name:
*
Your answer
Please check the skills you are most interested in for potential interns:
General IT Support
Help Desk Operations/Desktop Support
Website Development
Application Development
Programming
Database Design and Implementation
Networking Support
Virtualization
Datacenter/System Support
Data Science
Other non-IT Knowledge/skills
Other:
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