Internship: Partner Application 
We are excited that you are participating in the Momentum Internship Program! Please fill out the following form with the Point of Contact Information and a brief description of the project you envision. This information will be useful in matching our current pool of applicants with the appropriate company or project. We look forward to creating momentum with you!

If you have any questions or need more information, please contact:

Cherrelle Miller
Fellowship Coordinator
E-mail: CMiller@momentumvl.com
Phone:  (479) 387-4082
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Email *
Business/Company Name *
Point of Contact *
Full Name 
Job Title *
Phone Number *
Project Vision *
Please give a brief description of the scope of your project(s). Be sure to include the area of the company the fellow will be working in, the objectives of the project, and any relevant details concerning the intern's expected involvement.
Type of Intern *
Select 1 of the following categories of Momentum Interns that would best suit your project.
How many interns would you be interested in hosting? *
Which program are you interested in being a part of?  *
Required
We would love to continue this conversation, please provide some good dates/times to meet and further discuss.  *
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