NextGen Makers Internship Program Interest Form

Thank you for your interest in the NextGen Makers Internship Program. If you have any questions please reach out to Angelika Stratulat at astratulat@imec.org.

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* 1. Company Name

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* 2. Main Contact Name

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* 3. Phone number

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* 4. E-mail address

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* 5. Address (where the intern will be working)

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* 6. Please indicate the industry that best describes your company.

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* 7. Please enter your NAICS code - if known.

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* 8. How many employees are at this location?

less than 10

11-20

21-50

51-100

101-250

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* 9. What previous experience has your company had with interns?