Employer Intake Form - DoD SkillBridge Internship Question Title * 1. Is your organization interested in offering unpaid internships to transitioning service members? (service members will be receiving their active-duty salary and will be transitioning from the military within 180 days) Yes No OK Question Title * 2. What branches of service are you interested in working with? (please check all that apply) Air Force Army Marine Corps Navy OK Question Title * 3. Do you have an existing internship program? Yes No OK Question Title * 4. If yes, please describe your internship program and position offerings. OK Question Title * 5. Do you have a training plan in place? Yes No Unsure OK Question Title * 6. What would be an ideal length of time (in months) for an intern to be with your organization? OK Question Title * 7. How many interns do you estimate your organization could partner with per year? OK Question Title * 8. Please list the ideal job positions/titles and locations (cities) of intern positions you would like for your organization. Job Title 1 Job Title 2 Job Title 3 Job Title 4 Job Title 5 OK Question Title * 9. Once a service member is identified for your program, the military will complete a vetting checklist based on the service member's paperwork. Employer-provided training plans will need to be provided at this time. Please check below to acknowledge that you understand and will comply with these requirements. I understand and agree to comply OK Question Title * 10. Registering with CareerSource Gulf Coast as an employer in the SkillBridge program DOES NOT guarantee that a placement will be made. Additionally, the process to connect an active duty military member with an organization can be a timely process (ranging from weeks to months). Please check below to acknowledge that you understand. I understand OK Question Title * 11. Please provide your contact information for a team member at CareerSource Gulf Coast to reach out to you directly. Name (First, Last) Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK We appreciate your interest as an employer participant in the DoD SkillBridge Program! If you have any questions, please call (850) 872-4340 or email awoods@careersourcegc.com OK DONE