2019 Student Externship Program Sponsor Registration Application
Thank you for your interest in hosting a University of West Georgia student extern for Spring 2019. Please complete the below information to submit your application for program participation.
Full Name *
Your answer
I am: (select all that apply) *
Required
Organization Information
Company/Organization Name *
Your answer
Your Position Title *
Your answer
Career Industry(Finance, Education, Law, Healthcare, etc.) *
Your answer
Organization's Address(Address, City, State, Zip Code) *
Your answer
Contact Information(Work Phone, Work Email, Personal Phone, Personal Email, Website) *
Your answer
Please select your preferred method of contact from student. *
If there is an assistant or colleague who should also be listed to receive materials (or calls regarding your participation), please provide this information. (Name,Title, Phone and Email) *
Your answer
Sponsor Requirements and Preferences
We hope you will consider hosting a student from any college, major, or citizenship. Students select externships based on requirements and preferences stated by the sponsor as well as a variety of personal goals (exploration of, or refining, interest within a career field; assessing "fit" with the organization, etc.) Some organizations require visitor and hires to have specific qualifications, and we offer you the option to specify these requirements and preferences to assist us in the matching process.
College Preference 1 *
College Preference 2 *
College Preference 3 *
Class Year (select all that apply) *
Required
U.S. Citizenship Required *
If U.S. Citizenship is required please explain why.
Your answer
Required Age Restrictions *
If there are any age restrictions please provide your company/organization requirements.
Your answer
Background Check Required? *
Number of Externs You Can Host *
How long can your company/organization host an extern (select all that apply) *
Required
Externship Description (what will the student be doing/learning as a result of participating in the Externship Program) *
Your answer
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