Section 1: Business Information

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* 1. Business Name:

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* 2. Business Address

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* 3. Business Website:

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* 4. Contact Person (Name):

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* 5. Contact Person (Title):

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* 6. Contact Phone Number

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* 8. Industry/Sector:

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* 9. Number of Employees:

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* 10. Years in Business:

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* 11. Brief Description of Your Business:

Section 2: Internship Details

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* 12. Proposed Internship Title(s): (Please list all potential internship titles)

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* 13. Number of Interns You Can Accommodate:

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* 14. Please check all of the 8-week timeframes you would like to have an intern for:

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* 15. Internship Location (If different from Business Address):

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* 16. Internship Location (if different from Business Address)

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* 17. Internship Department(s):

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* 18. Specific Skills and Knowledge Interns Will Gain: (Please provide a detailed list)

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* 19. Daily/Weekly Responsibilities of the Intern: (Please provide a detailed description)

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* 20. Supervision and Mentorship Structure: (Describe how interns will be supervised and mentored)

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* 21. Required Skills/Qualifications for Interns: (e.g., software proficiency, communication skills, etc.)

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* 22. Required Tools Interns will need: (slip-resistant or steel-toed shoes, etc.)

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* 23. Will you require a background check or drug screening?

Section 3: Commitment and Partnership

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* 24. Why are you interested in participating in this internship program?

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* 25. How does this internship program align with your business goals?

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* 26. What resources (time, personnel, equipment) will your business dedicate to the internship program?

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* 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)?

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* 28. Are you willing to participate in orientation and feedback sessions with the Chamber and School Districts?

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* 29. Are you willing to provide feedback on the intern's performance to the Chamber and School Districts?

Section 4: Additional Information

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* 30. Please provide any additional information you believe would help evaluate your application.

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* 31. Please list any safety concerns related to the internship and how they will be addressed.

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* 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.

Thank you for your commitment to the education and development of Grandview and Hickman Mills students!

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