Thank you for your interest in participating in the KBA Internship Connection Program! If you have any difficulties submitting this form or have any questions, please contact J.W. Wells at jwells@ksbankers.com or visit the KBA website.

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1. First and Last Name: (Required.)

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2. Bank/Trust Company: (Required.)

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3. Are you willing to pay interns for their work? A minimum of $15 per hour is required to participate in the program. (Required.)

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4. What areas of banking are you looking to employ an intern for?
(Select all that apply) (Required.)

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5. Can your bank provide housing for interns? (Housing is not required to participate in the program.) (Required.)

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6. Are there any special needs or circumstances KBA staff should be aware of when sharing your contact information with internship-seeking students?

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7. Please list all locations where your bank will employ intern(s). (Required.)

Please provide a point of contact at your institution for KBA staff to send student applications to.

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8. Contact Name: (Required.)

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10. Contact Phone Number: (Required.)

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