Intent of Interest Form for Businesses

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

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* 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)

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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

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* 10. Internship Hours Per Week Available

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* 11. Is this a paid position?

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* 12. Questions or Comments

0 of 12 answered
 

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