Employer Interest Form                                      MCPS Internship and Apprenticeship Program
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Business Name *
Address of Business  *
Is your business located in Montgomery County, Maryland? *
Type of Business *
Last Name of Contact Person *
First Name of Contact Person *
Contact Phone Number *
Contact Email Address *
Please describe your student employee needs. *
I would like to:
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Additional information you would like us to know.
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