Family Service 2024 Summer Employer Survey

Family Service 2025 Summer Youth Intern Employer Application

Please fill out info below to become an Employer with Family Service's Youth Summer Internship Program Internship Dates: June 16-Aug 4, 2025 Part time internships: Avg Part time work hours/week (6 to 7 weeks)
Name of Employer*
Primary Point of Contact*

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
Will the Primary Point of Contact directly supervise the intern(s)? If no, please put the Intern's Supervisor's Name & Info on next question below.

YesNo
Secondary Point of Contact*

First NameLast Name
Secondary POC Email*
Secondary POC Phone Number*

Area CodePhone Number
Physical Address (Include building number, suite number, etc.)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
(Additional Information)Include instructions/daily check in process, who do they ask for once they check in, etc.
Are you able to host interns ages 14-17?

YesNo
Number of interns requested? *2 Minimum recommend *Requested number not guaranteed*
Will you be able to host an in-person internship?

YesNo
What would your intern's ideal work schedule look like? (20 work hours total) Ex. Mon-Fri (8am-12pm) or I am flexible with the interns' schedule.*
Can you assign enough work for your interns to work an average of 20 hours per week? (And 20+ hours in case they need to make up hours for a given week?)

YesNoNot sure, I will need guidance.
JOB DESCRIPTION: What will your intern work on this summer? What will they learn? What tasks will you assign them? (Include as many details as possible)*
Would you and your staff be willing to take the time to serve as a mentor and positive role model to an intern this summer?

YesNo
Will your intern only work at address listed above or will there be other locations? Please list all addresses & what ideal work schedule will look like between sites. Ex. Mon/Wed at downtown campus; Tues/Thurs at main office*
Provide parking info and building info for intern to easily find your office. Ex. Park in Visitor spots ONLY, we are located in blue building labeled "MAIN Building", entrance is at Suite 101. Include link of company map if applicable.*
What are your company's office days and hours during summer? (June-Aug)? Ex. We are open Mon-Fri (8am-5pm)*
Does your company have any holidays or office closures during the summer? Ex. Family Service offices will be closed July 3 through July 6.*
Will your company be able to provide a representative at our Job Fair on May 13th and for a mandatory online Intern Employer Orientation in May (TBA)?

YesNoNot sure
In an effort to make our internship a positive experience for all youth, would your company be able to host an intern who may need additional support to be successful?*

YesNoI'm not sure, however, I would like more information.
Do you have any questions or comments? Is there any way Family Service can connect you to more resources?
Should be Empty:

Family Service 2025 Summer Youth Intern Employer Application