Intern Request Form
*Please include a resume and unofficial transcript.
Name of Organization? *
Your answer
Street Address? *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Company Web Address
Your answer
Name/Title of Contact Person? *
Your answer
Phone Number *
Your answer
Fax Number
Your answer
For what semester is this internship?
Your answer
Describe the intern duties. What will you have the intern doing? *
Your answer
What special skills are needed for this internship? *
Your answer
Instructions for applying for this internship (résumé, cover letter etc). How do you want to receive the application? *
Your answer
Pay Rate
The Freedom to Learn Initiative will pay interns $7/hour.
Submit
Never submit passwords through Google Forms.
This form was created inside of Halifax Community College. Report Abuse - Terms of Service - Additional Terms