Mentor a Student Intern Program - Employer Application
Business/Organization Profile
Name *
Address *
Phone Number *
Fax
Contact Person Name *
Contact Person's Title *
Contact Person's Email *
My business/organization is: *
Position Requested
Student Name
If you do not have someone at this time, leave this field blank.
Job Title *
Student Education Level Requested *
Hours Per Week *
Wage Rate *
Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
Supervisor/Mentor Name *
Supervisor/Mentor Job Title *
What type of student are you looking for? OR Briefly explain how this employment relates to the chosen student's field of study or career goal *
Supporting Documents
Please submit the following supporting documents by email to alana.kane@kedc.biz
Submit
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