Eureka! Internship Sponsor Information Form
Internship Sponsor Main Contact Name
*
First Name
Last Name
Internship Sponsor Alternate Contact Name
*
First Name
Last Name
Organization
*
Email
*
example@example.com
Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Office Phone Number
*
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Number of interns desired
*
2 -5 interns
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Internship Position Description
Primary duties:
*
Tasks, projects, meetings, etc.
Work environment:
*
office, outdoors, collaborative, etc.
Skills taught on the job:
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Schedule
Predicted schedule for four weeks of internship (20 - 25 hours a week, ideally 5 hours/day, Monday - Thursday)
Monday Time In:
Monday Time Out:
Tuesday Time In:
Tuesday Time Out:
Wednesday Time In:
Wednesday Time Out:
Thursday Time In:
Thursday Time Out:
Total Weekly Hours
*
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