2017-2018 HTHI Internship Mentor Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please, complete this form to request an HTH intern for January 2018. Should you have any questions about our internship program, please see:

https://sites.google.com/a/hightechhigh.org/hthi-internship11-12/

Or feel free to contact: wraschke@hightechhigh.org

If you work with an organization that has multiple mentors, we would sincerely appreciate if each mentor could complete this form separately so that we can best match interns with the mentors' needs, thank you!

What is the name of your company or organization *

What is the mentor's name? *

Please, check the appropriate box. *

I know the name of the HTHI student whom I would like to mentor.

I would like HTH to select an intern for me.

Other:

If you know the name of the HTHI student whom you would like to mentor, please enter it here.

[last name, first name]

What is the mentor's phone number? *

What is the mentor's primary email address? *

Is there any additional information we should be aware of? *

What is the address of the internship site? *

Describe the project or type of work your intern with be part of? *

What types of skills should your intern have? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of High Tech High. Report Abuse

Forms