North Valley Summer Internship Program

Intent of Interest Form for Businesses

Please complete and submit by April 15, 2021. Thank you!

Question Title

* 1. Business Name

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* 2. Business Address

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* 3. Contact Person / Potential Work-site Mentor Name

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* 4. Contact Phone Number

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* 5. Contact Email

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* 6. Brief Description of Business

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* 7. Brief Description of Potential Internship Position(s)

Position #1

Position #2

Position #3

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* 8. Identify what type of work/skills the internship position(s) will include

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* 9. Internship Days of Week Available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 10. Internship Hours Per Week Available

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* 11. Is this a paid position?

Yes

If yes, please state the hourly rate of pay

North Valley Summer Internship Program

Intent of Interest Form for Businesses

Question Title

* 1. Business Name

Question Title

* 2. Business Address

Question Title

* 3. Contact Person / Potential Work-site Mentor Name

Question Title

* 4. Contact Phone Number

Question Title

* 5. Contact Email

Question Title

* 6. Brief Description of Business

Question Title

* 7. Brief Description of Potential Internship Position(s)

Question Title

* 8. Identify what type of work/skills the internship position(s) will include

Question Title

* 9. Internship Days of Week Available

Question Title

* 10. Internship Hours Per Week Available

Question Title

* 11. Is this a paid position?

Question Title

* 12. Questions or Comments