Clone of 2025 Summer Intern Employer Application

Family Service 2026 Youth Summer Intern Employer Application

Please fill out info below to become an Employer with Family Service's Youth Summer Internship Program Internship Dates: June 15-July 31, 2026
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
Direct Intern Supervisor Point of Contact*

First NameLast Name
Direct Intern Supervisor POC Email*
Direct Intern Supervisor POC Phone Number*

Area CodePhone Number
Secondary Intern Supervisor Point of Contact*

First NameLast Name
Secondary Intern Supervisor POC Email*
example@example.com
Secondary Intern Supervisor POC Phone Number*

Area CodePhone Number
Physical Address (Include building number, suite number, etc.. Intern will be reporting to this location)*

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, parking, etc. Intern must know who they will be reporting to.
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? 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?) 120 hours must be completed by the intern.

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*
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. Juneteeth or 4th of July.*
Will your company be able to provide a representative at our Job Fair on May 12th 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 and/or accommodations 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 2026 Youth Summer Intern Employer Application