Skills, Training, & Experience Program Job Order Form (unpaid)
Name of Organization
Direct Supervisor
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
STEP Internship Information
Job Title
Please identify a relatable job title for the WEP work being performed i.e. Clerical Worker, Janitor
Is this a new Internship at your agency?
Yes
No
Hours Needed
How many hours can you offer weekly, for example: Up to 15, 20, 25, 30 or 35?
Availability
What days and hours are you open?
Functions
Provide brief job description; primary responsibilities, preferred requirements that the new intern would need to prepare for?
Any physical requirements
Yes
No
List Requirements
Can you accommodate certain limitations?
Yes
No
Can you work with people who speak English as a second language?
Yes
No
Can someone have a criminal background?
Yes
No
Any particular background acceptable?
Yes
No
First Day of Report: Please identify a common start date and time that we can schedule someone to arrive for their orientation and/or first day of work for this internship, i.e. Mon. at 9, Tuesday at 1pm…?
Number of Interns being requested
Submit
Should be Empty: