Ithaca College Commit-to-Change Internship Program Registration

1. Organization Information

The Ithaca College Environmental Sudies Program has developed this survey to match college students with internship opportunities. This project is supported by the HSBC Commit-to-Change grant and the Partnerships for Sustainable Education.

1. Name of Organization:

Name of Organization:

2. Address:

Address:

3. Contact Person Name:

Contact Person Name:

4. Contact Email:

Contact Email:

5. Contact Phone Number (include area code if not 607):

Contact Phone Number (include area code if not 607):