CT Manufacturing Internship Program Enrollment

Manufacturing Internship Program Enrollment
All Connecticut manufacturers can participate in the MIF Internship Program. We invite you to enroll ALL your interns to participate in our events to create more of a robust and inclusive community of college interns across #CTManufacturing this summer! You will be asked to provide information about each college intern (rising sophomores to rising seniors) at your company, regardless of their major or role.

If you have any questions, comments, or concerns, please contact Eileen Candels at ecandels@ccat.us.
Have you previously enrolled other interns, but have more to add?*

YesNo
Company Information
Company Name*
Street Address*
Town or City*
State*
5-Digit Zip Code*
Company Website*
Please include the https:// prefix. If you do not have a company careers page, please provide your company website URL.
Industry*

AerospaceApparelAutomotive/Motor VehicleBeverage and Tobacco ProductsChemicalsComputer and Electronic ProductsElectrical Equipment, Appliances, and ComponentsFabricated Metal ProductsFoodFurniture and Related ProductsLeather and Allied ProductsMachineryMedical Equipment and SuppliesNonmetallic Mineral ProductsPaperPetroleum and Coal ProductsPharmaceuticals and MedicinePlastics and Rubber ProductsPrimary MetalsPrinting and Related ActivitiesShip and Boat BuildingTextilesTransportation, OtherOther MiscellaneousWood Products
Number of Employees in CT*
Primary Employer Contact for Program Communications
First Name *
Last Name *
Phone*
Please do not include characters.
Email*

Confirmation Email
Role*
Program Events
What time of day would be best for your intern(s) to attend in-person Intern Cohort Events?

8am-12pm12pm-4pm4pm-8pmFlexible
Would you consider welcoming up to 35 interns for a tour of your facility?*

YesNo
Would you have a meeting room space if a meeting for up to 35 interns was held at your site?*

YesNo
Please share any additional details about your facility tour and or meeting room space.
Intern Information
How many interns would you like to add? *
As part of our commitment to increase the diversity of the talent pool working in CT manufacturing, we are requesting some demographic information below. Please verify with the student prior to completing. The information gathered on this form will solely be used for aggregate program reporting required by our funders. No decision is being made with this information, and you can indicate if the student has chosen to not respond.
Intern 1
First Name (1)*
Last Name (1) *
Company Email (1) *
Personal Email (1)*
Mobile Number (1)*
Role (1)*
Major or Area of Study (1)*
College or University (1)*
Expected Month of Graduation (1)*
Expected Year of Graduation (1)*
Expected Start Date (1) *
Expected End Date (1)*
Hourly Wage (1)*
Gender (1)*

FemaleMaleNon-binaryPrefer not to respond
Race (1)*

American Indian or Alaska NativeAsianBlack/African AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to respondOther
Ethnicity (1)*

Hispanic/LatinoPrefer not to respondNon-Hispanic/Latino
Will you commit this intern to attend the Wednesday, June 4th Orientation at Trumpf in Farmington? (1)*
Intern 2
First Name (2)*
Last Name (2) *
Company Email (2) *
Personal Email (2)*
Mobile Number (2)*
Role (2)*
Major or Area of Study (2)*
College or University (2)*
Expected Month of Graduation (2)*
Expected Year of Graduation (2)*
Expected Start Date (2) *
Expected End Date (2)*
Hourly Wage (2)*
Gender (2)*

FemaleMaleNon-binaryPrefer not to respond
Race (2)*

American Indian or Alaska NativeAsianBlack/African AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to respondOther
Ethnicity (2)*

Hispanic/LatinoPrefer not to respondNon-Hispanic/Latino
Will you commit this intern to attend the Wednesday, June 4th Orientation at Trumpf in Farmington? (2)*
Intern 3
First Name (3)*
Last Name (3) *
Company Email (3) *
Personal Email (3)*
Mobile Number (3)*
Role (3)*
Major or Area of Study (3)*
College or University (3)*
Expected Month of Graduation (3)*
Expected Year of Graduation (3)*
Expected Start Date (3) *
Expected End Date (3)*
Hourly Wage (3)*
Gender (3)*

FemaleMaleNon-binaryPrefer not to respond
Race (3)*

American Indian or Alaska NativeAsianBlack/African AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to respondOther
Ethnicity (3)*

Hispanic/LatinoPrefer not to respondNon-Hispanic/Latino
Will you commit this intern to attend the Wednesday, June 4th Orientation at Trumpf in Farmington? (3)*
Intern 4
First Name (4)*
Last Name (4) *
Company Email (4) *
Personal Email (4)*
Mobile Number (4)*
Role (4)*
Major or Area of Study (4)*
College or University (4)*
Expected Month of Graduation (4)*
Expected Year of Graduation (4)*
Expected Start Date (4) *
Expected End Date (4)*
Hourly Wage (4)*
Gender (4)*

FemaleMaleNon-binaryPrefer not to respond
Race (4)*

American Indian or Alaska NativeAsianBlack/African AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to respondOther
Ethnicity (4)*

Hispanic/LatinoPrefer not to respondNon-Hispanic/Latino
Will you commit this intern to attend the Wednesday, June 4th Orientation at Trumpf in Farmington? (4)*
Intern 5
First Name (5)*
Last Name (5) *
Company Email (5) *
Personal Email (5)*
Mobile Number (5)*
Role (5)*
Major or Area of Study (5)*
College or University (5)*
Expected Month of Graduation (5)*
Expected Year of Graduation (5)*
Expected Start Date (5) *
Expected End Date (5)*
Hourly Wage (5)*
Gender (5)*

FemaleMaleNon-binaryPrefer not to respond
Race (5)*

American Indian or Alaska NativeAsianBlack/African AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to respondOther
Ethnicity (5)*

Hispanic/LatinoNon-Hispanic/LatinoPrefer not to respond
Will you commit this intern to attend the Wednesday, June 4th Orientation at Trumpf in Farmington? (5)*
Acknowledgement*

By submitting this form, you acknowledge that your information will be submitted to the Connecticut Center for Advanced Technology, Inc. (CCAT).
CCAT Privacy Policy
Please verify that you are human*
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Manufacturing Internship Program Enrollment

Company Information

Primary Employer Contact for Program Communications

Program Events

Intern Information

Intern 1

Intern 2

Intern 3

Intern 4

Intern 5