Student Internship Partner Site Application

Businesses interested in hosting interns should complete the form below. The information provided in the form will be sent to the College's Office of Legal Affairs, and a Student Internship Agreement between your company/agency and the College for the selected programs will be prepared and emailed for your signature.

If you see this don't fill out this input box.

Business Information

Corporate Name*

Street Address*

City*

State

Zip Code*

Website URL

Is this a non-profit organization?

Yes

Programs

Please select the college program(s) that you would like to participate in internships at your site. Check all that apply.

Point of Contact

Please add the Individual who has authority to sign the internship agreement on behalf of your company/agency.

First Name*

Last Name*

Title*

Email Address*

Phone Number*

Internship Supervisor

If different from the legal authority above, please add the individual who will be the site mentor/supervisor for the student(s).

Supervisor's First Name

Supervisor's Last Name

Supervisor's Title

Supervisor's Email Address

Supervisor's Phone Number

Internship Location

Address of Internship Site (if different from address above)

Hidden: Admin Email Recipient(s)

Academics

Experience Student Life

Enrolling and Admissions