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HOST INFORMATION

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* 1. Government Name

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* 2. Host Information

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* 3. Supervisor Contact Information

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* 4. Number of hours per week intern is requested

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* 5. We would like to participate in the local government internship program for summer 2020. We agree to the responsibilities outlined in the program description via www. morpc.org

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* 6. We agree that we will be the employer, not MORPC, and that we are solely responsible for complying with all applicable employment matters related to any intern we employ through the program.

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* 7. We agree that we are not relying upon any statement by MORPC regarding any intern that we employ through the program and that we make our own decision regarding whether or not to hire an intern and under what conditions.

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* 8. We acknowledge that we will be invoiced the $625 Local Government Internship Program Fee per intern that covers items such as intern orientation materials, initial applicant screening, intern job posting, initial telephone interview with intern candidate, and a portion of the coordination costs.

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* 9. We will need some financial assistance in order to participate in the program.

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* 10. Please check off all the desired skills of the intern:

NEXT SECTION - please indicate the desired field of study:

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* 11. Indicate what level of student:

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* 12. Please choose the desired field of study.

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* 13. Enter a brief description of the intern projects and tasks.

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