Strive San Jose Internship Program
Strive San Jose is a program of The silicon valley organization, formerly known as the San Jose Silicon Valley Chamber of Commerce. For more information, visit us at
Initial Commitment Form
Please complete this brief form to better inform our planning for the Summer 2017 internship program, and reserve your slot as an intern host.
Physical address preferred, please include City and Zip Code.
Organization Representative Full Name
Main point of contact for Strive San Jose
Organization Representative Phone Number
Intern Manager Full Name
Main supervisor of intern(s); if same, please write “Same as above”
Number of Interns Requested
5 or more
Please briefly describe the department and/or type of work interns will be assigned
e.g. marketing department, social media project, administrative intern, communications
Is there anything else we should know about your requirements of the student intern?
e.g. foreign language skills, technical skills, job expectations
Organization Representative Signature
Please type your full name.
How did you hear about this Internship Program?
Derrick Seaver, Executive Vice President
Tonette Slaviero, Campbell Union HSD Liaison
Eddie Truong, East Side Union HSD Liaison
Catherine Uong, San Jose USD Liaison
Kelly Peaton, SVO Director of Workforce Development
SVO member email
Thank you for being a Strive San Jose intern host!
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service