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Employer Commitment Form 2023-2024
Please submit the Internship Commitment Form to share details of your internship opportunity. Thank you for partnering with Columbus Academy!
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🔶🔸 HOST INFORMATION 🔸🔶
Organization:
Your answer
Address:
Your answer
Website:
Your answer
Contact Name:
Your answer
Contact Email:
Your answer
Contact Phone:
Your answer
🔶🔸 POSITION INFORMATION 🔸🔶
Position Offered:
Fall 2023 (September-December)
Spring 2024 (January-May)
Summer 2024 (June-August)
Position will be:
In-Person
Virtual
Combination
Clear selection
Position Title:
Your answer
Position - Skills Required:
Your answer
Position - Tasks/Responsibilities:
Your answer
Position - Physical Requirements/Restrictions:
Your answer
Position - Location (if different from above):
Your answer
Start Date:
MM
/
DD
/
YYYY
End Date:
MM
/
DD
/
YYYY
Days to be worked:
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Start Time:
Time
:
AM
PM
Daily End Time:
Time
:
AM
PM
Evenings/Weekends Required:
Yes
No
Maybe
Clear selection
Paid:
Yes
No
Clear selection
If paid, compensation is:
(please indicate if hourly wage or stipend)
Your answer
Age Required:
Yes
No
Clear selection
If age required, minimum age/grade is:
Your answer
Additional comments for the Internship Office?
Your answer
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