High School Internship Employer Information
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Select High School Related Program *
Company Name *
Address *
City *
State *
Zip Code *
Contact Person *
Contact Phone *
Contact Email *
Wage Range *
Example:  $13.00 to $16.00
Possible Start Date *
MM
/
DD
/
YYYY
Possible Work Days *
Required
Possible Start Time *
Time
:
Possible End Time *
Time
:
1. List one task/skill the student intern will be responsible for on job-site. *
Example: Safety
2. List one task/skill the student intern will be responsible for on job-site. *
Example: Safety
3. List one task/skill the student intern will be responsible for on job-site. *
Example: Safety
Submit
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