Student Internship Program Employer Registration
Thank you for helping to create a unique learning opportunity for a local student! In order to best match your company with an intern, please complete the following information to be shared with students as part of the selection process. Please complete a separate form for each different internship position you are offering.
Intern Host/Mentor Name
Intern Host/Mentor Email
Company Name (No abbreviations please)
Address, City, State, ZIP Code
Industry Type (e.g., Energy, Social Services, etc.)
If you can take multiple interns for one position, please note how many
Briefly describe the kinds of experiences and/or responsibilities you will offer your intern:
Please list any checks, confidentiality agreements, inoculations, test or other HR-related procedures might be required? Most students are under 18 and parental consent might be necessary:
As a mentor you have the option to pick the dates your intern(s) work. Please list which weeks you would like for your intern(s) to work.
Check all that apply or write in the category that best describes the position functions
Architecture & Construction
Arts, A/V, Technology & Communications (Newspapers, Photography TV/Video/Radio)
Business Management & Administration
Finance (Accounting, Financial Planning, Insurance)
Government & Public Administration
Health Science (Chiropractic, Dentistry, EMT, Hospital Services, Private Practice, Pediatrics, Pharmacy, Sports Medicine, Veterinary Medicine)
Hospitality & Tourism (Hotel/ Resort, Entertainment)
Human Services (Nonprofit, social services)
Information Technology (Computer Graphics, Computer Programming, Telecommunications, Web Design)
Law, Public Safety (Fire Protection, Law Enforcement, Court System, Family Law, Corporate Law, Criminal Law)
Marketing, Sales & Service
Science, Technology, Engineering & Mathematics (Aerospace, Biology, Biotech, Civil Engineering, Chemistry, Chemical Engineering, Environmental Science, Mechanical Engineering)
Transportation, Distribution & Logistics
Never submit passwords through Google Forms.
This form was created inside of EFTA.
Terms of Service