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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. Business Contact Name:

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* 5. Business Contact Phone Number:

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* 6. Business Contact Email:

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* 7. Internship Title:

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* 8. How many interns will your company be able to take?

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* 9. Insert one-paragraph description of the business that includes vision, mission, how long the business has existed, sector, and location where the intern will work.

Compensation: This is a part-time internship for up to sixteen hours/week. $15/hour paid through the Brooklyn Community Pride Center. MetroCards provided. No benefits are provided.

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* 10. The scope of duties:

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* 11. Qualifications

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* 12. Characteristics

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* 13. Available times for internship hours 

Date / Time

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* 14. Internship location? 

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* 15. What does your business do to create an inclusive workspace ?

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* 16. Do you mind sharing in a brief paragraph about your experience working with LGBTQ + individuals?  

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