2024 KIC Registration Form

KIC Employer Application form

Kern Intern Connections (KIC) is a regional talent retention and workforce quality initiative. KIC aims to expand paid internship opportunities in Kern County by supporting local employers and connecting students with STEM-based internships. Please complete this form for each internship position your company would like to host. For additional information, contact Richard Chapman at richard@kedf.org or 661-862-5157.
Business Name*
Business Owner*

First NameLast Name
E-mail*
example@example.com
Contact Number*
Would your company like to apply for support? (Gas cards for intern and/or intern salary reimbursement)

YesNo
Title of Internship Position *
Brief paragraph description that describes the purpose of the intern position for your company.*
Essential Functions of the position.*
In bullet point format (This is what the intern will be doing on a day to day basis)
Employment Standards*
(In this section please list the knowledge and skills that the intern should possess prior to applying for the position.)
Required Skills*
In bullet point format (List what the intern should already have knowledge of and the skills they should already possess in order to be successful in this role)
Will your intern have to be 18 years or older before the start date of your internship?*

YesNo
Address of Internship*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting date of internship (cannot start prior to 6/3/2024)*

MonthDayYear
Date
Ending date of internship (8 weeks after start date)*

MonthDayYear
Date
Days of work for internship (list all that apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Start time for intern workday*

Hour Minutes

AM/PM Option
End time for intern workday*

Hour Minutes

AM/PM Option
Optional List any additional requirements required of applicants such as high school diploma, drivers license, specific certifications, age limit, etc.
Should be Empty:

KIC Employer Application form