Host Company Agreement Summer 2021
Thank you for your support in hosting a Student2Work Intern for the 2021 Summer Program. Please note the expected dates of the internship is June 7, 2021 - July 30, 2021.

You agree that your organization will provide a minimum of 32 hours per week at $8.00 hour. Internship hours include 32 hours of virtual soft skills training completed prior to site placement. Soft Skills Training dates are June 7 - 11, 2021.

Responsibilities of the Host Company:
- Host Company must keep accurate records of the student's time and attendance for the assigned work hours.
- Host Company must engage the student in meaningful work and provide tools and equipment necessary for the students to effectively carry out their duties.
- Host Company must promptly notify (Students2Work) regarding performance issues prior to removal of the student from the program.
- Host Company may recommend removal of the student from the program if the students work conduct is unsatisfactory to the company.
- Host Company will adhere to CDC guidelines related to COVID19 for each student internship position.

If you have any questions or concerns, please contact Sheknita Davis at or 706-821-1302.

**Note: Students are eligible to receive CTAE credits upon completion of assigned coursework and internship
site visit.**
Host Company Name *
Address, City, Zip *
Address of Student Placement site (if different from above)
Owner/Manager/Decision Maker Name *
Phone number *
Email Address *
Intern's Supervisor Name (if different from above)
Supervisor Phone Number
Supervisor Email Address
Type of Organization *
Industry Sector - Please indicate primary classification *
COVID-19 Work Site Provision and Requirements - Please provide in detail your company's safety protocol to ensure compliance with CDC guidelines in the internship position/role each student will be working include equipment provided by employer. **Note: All students will participate in required courses - Preventing Infections and Personal Protective Equipment.** *
Number of Interns Requested *
Does your student intern need to be 18+? *
How often will interns be paid? *
Can your company provide student transportation if needed? *
Are there any pre-employment guidelines or special onboarding procedures needed by your company before the students can begin work? If so, please explain: *
Does this position require drug screen and background check? *
Please list the typical task/projects the students will be performing and/or email a job description.
Please describe the physical work environment the students will be working in and give an example of the day-to-day dress code of the job. *
Are there any special requirements or skills needed to perform the task of this internship? If so, please list. *
Printed Name, Title, and Date *
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