NextGen Internship Program Business Application Section 1: Business Information Question Title * 1. Business Name: Question Title * 2. Business Address Question Title * 3. Business Website: Question Title * 4. Contact Person (Name): Question Title * 5. Contact Person (Title): Question Title * 6. Contact Phone Number Question Title * 7. Contact Email Address Question Title * 8. Industry/Sector: Question Title * 9. Number of Employees: Question Title * 10. Years in Business: Question Title * 11. Brief Description of Your Business: Section 2: Internship Details Question Title * 12. Proposed Internship Title(s): (Please list all potential internship titles) Question Title * 13. Number of Interns You Can Accommodate: Question Title * 14. Please check all of the 8-week timeframes you would like to have an intern for: August - October October - December January - March March - May Question Title * 15. Internship Location (If different from Business Address): Question Title * 16. Internship Location (if different from Business Address) Question Title * 17. Internship Department(s): Question Title * 18. Specific Skills and Knowledge Interns Will Gain: (Please provide a detailed list) Question Title * 19. Daily/Weekly Responsibilities of the Intern: (Please provide a detailed description) Question Title * 20. Supervision and Mentorship Structure: (Describe how interns will be supervised and mentored) Question Title * 21. Required Skills/Qualifications for Interns: (e.g., software proficiency, communication skills, etc.) Question Title * 22. Required Tools Interns will need: (slip-resistant or steel-toed shoes, etc.) Question Title * 23. Will you require a background check or drug screening? Yes No Yes, please explain Section 3: Commitment and Partnership Question Title * 24. Why are you interested in participating in this internship program? Question Title * 25. How does this internship program align with your business goals? Question Title * 26. What resources (time, personnel, equipment) will your business dedicate to the internship program? Question Title * 27. Are you able to have a representative attend the Junior Chamber Shark Tank Session, where businesses pitch their internship opportunities to the students (date TBA)? Yes No Question Title * 28. Are you willing to participate in orientation and feedback sessions with the Chamber and School Districts? Yes No Question Title * 29. Are you willing to provide feedback on the intern's performance to the Chamber and School Districts? Yes No Section 4: Additional Information Question Title * 30. Please provide any additional information you believe would help evaluate your application. Question Title * 31. Please list any safety concerns related to the internship and how they will be addressed. Question Title * 32. I confirm that the information provided is accurate and complete. I understand that participation in the Grandview Chamber of Commerce NextGen Internship Program is subject to approval by the Chamber and School Districts. I agree to comply with all program guidelines and requirements. I agree Thank you for your commitment to the education and development of Grandview and Hickman Mills students! Done