Intern Host Company Questionnaire
Please provide information below so we can work to match an intern with your company/organization's needs.
Email address
Contact First and Last Name
Your answer
Contact Position/Title
Your answer
Contact Phone Number
Your answer
Company Website
Your answer
Company Name
Your answer
Company Address
Your answer
Who will be your company's lead contact for internships (if different from above)?
Your answer
Career Pathway that best describes your company?
Required
Please confirm that you will be able to host an intern for a minimum of 4 weeks
Will you or someone at your office be able to supervise interns up to a minimum 16 hours a week?
How many Interns would you be willing to host?
Will you have shifts for AM, PM or both?
Required
What are the hours of operation for your company?
Your answer
Is your site near public transportation?
Do you have one or more special projects that you could assign an intern to work on?
Required
Are you currently a member of a Chamber?
Required
Any additional questions? Please request any additional info below and we'll be happy to get back to you.
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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