INTERNSHIP PROGRAM
Student Request for Intern Position
Coordinator: Christy Kloezeman
To enable us to assist you in completion of an intern position in a work environment, please provide the following information:
Name
First
Last
Phone
INTERN POSITION DESIRED:
Today’s Date
Days Preferred
Total Days Desired
Time of Day Preferred
Preferred Starting Date
Location Desired
Company Name
(if you desire a specific company)
Duties you wish to perform/ skills you wish to learn:
INTERNSHIP PROGRAM
Student Request for Intern Position
Coordinator: Christy Kloezeman
To enable us to assist you in completion of an intern position in a work environment, please provide the following information:
Name
First
Last
Phone
INTERN POSITION DESIRED:
Today’s Date
Days Preferred
Total Days Desired
Time of Day Preferred
Preferred Starting Date
Location Desired
Company Name
(if you desire a specific company)
Duties you wish to perform/ skills you wish to learn: