PT 2024 Summer Internship: Mentor Application
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Email *
Organization Name *
Organization Address (Please indicate if the Internship location is IN-PERSON or VIRTUAL as well) *
Contact Person *
Email Address *
Cell Phone *
If there is someone else who will act as the primary point person for the PT intern during placement, please indicate the name and contact info here.
Describe the intern project or scope of work in as much detail as possible. The more details the better able we can make the best match for you. *
Indicate any specific skills or requirements your intern needs (i.e. computer skills, writing, social skills)
Will you be able to attend the Meet & Greet Lunch on Wednesday, July 24, 2023 at 1:00? If not, please indicate who will attend in your place in the space below.
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Please indicate your availability to host an intern(s) on the following days/weeks. Final schedule of dates and times will be left to you and your intern(s) to coordinate. PROGRAM OFFICIALLY ENDS ON AUGUST, 16, 2024; however, some interns may be available to continue working after that to complete their 30 hours or work additional hours. Additional hours beyond the first 30 are paid to the intern by employer. Please include in the OTHER field any specific dates you are NOT available. CHECK ALL THAT APPLY. *
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Number of hours (approximate) you have available per week; Interns can not work over 30 hours in total. Some interns may be available for a additional hours (paid directly by mentoring org.)
Number of Interns requested
Please, check one:
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A copy of your responses will be emailed to the address you provided.
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