CORO Exploring Leadership Internships 2015

1. Basic Info

Please use this form to submit your proposal for an Exploring Leadership Youth Program internship. The internship placements will run for five weeks, three days a week: Tuesday through Thursday, June 30 to July 30. Proposals may be submitted at any time before June 1, 2015.

We understand that project needs may change between now and June 30. Feel free to submit a project proposal based on your best sense of what the Youth Fellow will be working on. If it looks like the project will change significantly, please update us as soon as you can.

CORO sometimes receives more proposals than we can accommodate. In these cases, we select projects that provide the greatest learning opportunities for the Youth Fellows and contribute to a broad range of placements for the class.

If you have any questions about this form or about hosting a Youth Fellow, please contact Lizzie Lincoln, Program Manager, at 415-986-0521 x108 or llincoln@coro.org.

Question Title

* 1. Who will be CORO's main contact person at your organization?

Contact Person: *

Title and/or Department:

Organization Name: *

Work Address:

City: *

State:

ZIP:

Preferred Email Address: *

Office Phone: *

Cell Phone:

Question Title

* 2. Who will be supervising the Youth Fellow(s)? (If it's the same person as above, leave blank)

Supervisor:

Title:

Organization and/or Department:

Address:

City:

State:

ZIP:

Email Address:

Office Phone:

Cell Phone:

Question Title

* 3. Has this organization hosted a Youth Fellow before?

Yes, same supervisor

Yes, different supervisor

Not Sure

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* 4. How many Youth Fellows would you like to host? (You may check more than one option. For example, if you want to host 2 or 3 fellows, please check 2 and 3.)

CORO Exploring Leadership Internships 2015

1. Basic Info

Question Title

* 1. Who will be CORO's main contact person at your organization?

Question Title

* 2. Who will be supervising the Youth Fellow(s)? (If it's the same person as above, leave blank)

Question Title

* 3. Has this organization hosted a Youth Fellow before?

Question Title

* 4. How many Youth Fellows would you like to host? (You may check more than one option. For example, if you want to host 2 or 3 fellows, please check 2 and 3.)

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* 5. What type of organization is this?

Question Title

* 6. Which of the following best describes your organization's operating budget?

Question Title

* 7. How many people are employed by your organization full time?