Pollution Prevention Internship - Business application

Pollution Prevention Internship

BUSINESS APPLICATION
Business

Business NameContact Name
Email
example@example.com
Website
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NAICS code
What are this facility's products or services?
Number of employees

What is your primary pollution focus? (check all that apply)

Energy conservationWater conservationC02 emissionsHazardous wasteOther_____________________________________________________________________Unsure
Does your business have a pollution prevention project already in mind? If so, please expound.
Who would supervise the intern? Please provide name, title and email.
Upon successful completion of the project, would your company be willing to share project outcomes with other Montana businesses? Confidential information is not disclosed. (Check all boxes that apply.)

Formal public presentation by intern (also posted on MTP2 website)Project summary and MTP2 newsletter articleFacility tours for related businessesArticles in association newslettersPresentation at association meetings and/or workshops
Is your company able to provide or recommend student housing for positions outside of the Bozeman area?

YesNoMaybe
Do you approve of MTP2 using your company name in student advertising/recruiting to fill the internship?

YesNo
Where did you hear about the MTP2 Internship program?
Thank you for filling out this project application. Prior to submitting, you may wish to print your form for your records. You will receive a confirmation email that your proposal has been received. Applications will be reviewd upon receipt and companies will be contacted by MTP2 staff within two weeks for additional project development and scoping.

We anticpate supporting up to 12 projects in 2024.

If you have any questions regarding your project or this form, please contact Jenny Grossenbacher, MTP2 Director at jenniferg@montana.edu.
Signature

Powered by Jotform SignClear
Name
Should be Empty: