Workforce Solutions Internship Program Application

INTERNSHIP APPLICATION
Workforce Solutions offers multiple internship funding opportunities.

Complete this application and Workforce Solutions staff will determine the funding program for which your internship is eligible.

Applications are reviewed on a rolling basis until funding is depleted.

Interns that have previously participated in the program are only eligible in new positions that differ from a previously approved internship in terms of scope and responsibilities.

If you have any questions regarding the application process and requirements, please contact our office at 814-245-1835 or email Amber Biondi at abiondi@ncwdb.org.
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities.
Funded in whole or in part by Federal Funds. Detailed information can be found at: https://www.workforcesolutionspa.com/categories/resources/pages/stevens-amendment

INTERN INFORMATION
Intern Name:
Date of Birth:

MonthDayYear
Date
Intern Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Intern Title/Position:
Do you intend to hire the intern full-time upon completion of internship?
Hourly Wage:
*Minimum $14.00 / hr.
Intern Start Date:

MonthDayYear
Date
School/Training Provider:
Program of Study:
Please describe the work schedule for the intern:

(e.g. hours per week, days per week, shifts, etc.)0/140

OCCUPATIONAL INFORMATION AND TRAINING PLAN
Interns Role: What tasks and projects will the intern be expected to perform?

0/140
Relation to Field of Study: Describe how the intern's coursework, training, or educational program will be applied through this internship.

0/140
Relevance of Internship: How will this internship help the intern understand careers and opportunities within your industry?

0/140
Learning Objectives: What knowledge or skills should the intern gain during this internship?

0/140
Training and Supervision: Describe the methods of training the intern will receive and how progress will be reviewed.

0/140
Core Competencies: What core competencies should the intern possess by the completion of the internship?

0/140

INTERNSHIP PROGRAM NARRATIVE
In the space below, explain how the proposed internship will meet the goals of the internship program offered by Workforce Solutions. Our goals are to engage the intern by encouraging them to stay or return to the North Central PA region and to provide the intern with a valuable internship and possible employment with your company. This narrative is critical in determining the value of the internship. Please be as descriptive as possible. This narrative has a 200-word limit and must address the goals of the program.

0/200
SIGNATURE
By signing below, you agree to the terms identified on the Internship Program Guide.
AUTHORIZED SIGNATURE:
Name:
Please type name of authorized signature
Title:
Date:

MonthDayYear
Date
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities.
Funded in whole or in part by Federal Funds. Detailed information can be found at: https://www.workforcesolutionspa.com/categories/resources/pages/stevens-amendment
Approval:
MOA Start Date:

MonthDayYear
Date
Should be Empty:

INTERNSHIP APPLICATION