Mentor a Student Intern Program - Employer Application
Business/Organization Profile
Name *
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Address *
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Phone Number *
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Fax
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Contact Person Name *
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Contact Person's Title *
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Contact Person's Email *
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My business/organization is: *
Position Requested
Student Name
If you do not have someone at this time, leave this field blank.
Your answer
Job Title *
Your answer
Student Education Level Requested *
Hours Per Week *
Your answer
Wage Rate *
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Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
Supervisor/Mentor Name *
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Supervisor/Mentor Job Title *
Your answer
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 *
Your answer
Supporting Documents
Please submit the following supporting documents by email to onawa.jacobs@kedc.biz
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