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Membership Declaration 2023-2024
Yes, I value the work of the Milwaukee Area College Internship Consortium and would like my school career/internship office identified as a member of MACIC for the 2023-2024 school year.
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Email
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School Name
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College/University Address
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Office Phone Number
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Representative 1 Name:
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Representative 1 Title:
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Representative 1 Email:
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Representative 2 Name:
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Representative 2 Title:
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Representative 2 Email:
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Representative 3 Name:
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Representative 3 Title:
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Representative 4 Name:
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Representative 5 Name:
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Representative 6 Name:
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Representative 6 Title:
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Representative 7 Name:
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Representative 7 Title:
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Representative 8 Name:
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Representative 8 Title:
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Representative 8 Email:
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Please check the boxes below before submitting.
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I verify that I am an internship professional or faculty from a Wisconsin accredited post secondary educational institution
I agree to show active participation in the organization. Active participation may include representation on a commitee, attending or hosting at least 1 meeting, or holding elective office
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