Business Name:

Contact person's name:

Address 1:

Address 2:

City:

State/Provence:

ZIp/Postal code:

Country:

Telephone:

Fax:

E-mail:

Website:

Location of Internship:

Date Needed (e.g. summer only, fall/spring, etc):

Estimated Hours per day:

How many interns are needed at this time?

Internship title:

Position experiences will include:
(list duties you would like intern to perform/be responsible for...please be as detailed as possible as a detailed description will yield more views in our database) :

Is similar or prior experience necessary?

yes
no

If yes, please describe:

What will the cooperator provide in terms of:

Lodging/Housing?

Salary?

Transporation?

Medical Expenses?

Meals, Laundry, etc?

Any other unique qualifications needed? (e.g. age, grade level, GPA, physical requirements for the position?)

Desired characteristics? (e.g. personal qualities, skill, like to work alone / likes to work in teams, etc)?