OCN Intern Extension Request Form

OCN Intern Extension Request Form

Please fill out this form to request an extension for your current intern.
Full extension: 150 hours

Half extension: 75 hours

Quarter extension: 37.5 (this is a great option if your intern needs just enough time to finish out a project/fully see it through)

Please note that requesting an extension means the original job description remains in effect. For instance, if Jane Doe is currently an events intern, the extension cannot be used to shift her to a policy internship.
Organization Name*
Is your organization a TOPP Partner? (This does not effect eligibility for extensions)*

YesNo
Please select the region(s) you are a TOPP partner of:

MidwestNortheastPlainsSoutheastWest/SouthwestNational-OFANational- OTA
Your Email*
example@example.com
Intern's Full Name*
Intern's Email*
example@example.com
The intern is a:*

Undergrad studentGrad StudentRecent graduate (within 1 year of graduation)Not currently enrolled, but between 18-24 years old
For which internship is this extension being requested? (Just the title is fine no need to link the job description)*
What is the requested extension length?*

Full extension (150 hours)Half extension (75 hours)Quarter extension (37.5 hours)
New Estimated Internship End Date*

MonthDayYear
Date
What is the purpose of this extension? (Explain why additional time is needed and how it will benefit the intern and the organization)*
What additional work or projects will the intern complete during the extension period? (List specific tasks, responsibilities, or deliverables expected during the extension)
Should be Empty: