High School District 214 Business & Education Partnerships
Industry Partner Interest Form:
Please complete this brief form if you would like to be considered as a possible site for hosting a District 214 Student.
Organization Name
Your answer
Your Last Name
Your answer
Your First Name
Your answer
Your Title
Your answer
Your Email Address
Your answer
Your Phone Number
Your answer
Company Street Address
Your answer
City
Your answer
State
Zip Code
Your answer
Career areas within your organization
This can include any departments/divisions that may be able to host a student. Please see our Career Pathways Handbook for more information [http://www.d214.org/assets/1/6/D214CareerPathwaysBooklet-0915_online.pdf].
Required
Time of Day
Times where you or designee can supervise the intern.
Required
Available Semester(s)
Required
Additional details regarding availability
Your answer
Levels of Involvement that interest you:
Additional Information/Questions/Concerns/Etc.
Your answer
Submit
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