SY 19-20 WLA Internship Registration Form
By completing this form, you and your organization agree to host a WLA Intern on Friday's February 7, 2020 through May 29, 2020.  Interns are expected to work at least 4 hours every Friday during the experience to ensure they complete the required 40 hours towards their community service requirement.

If, after registering, the ability for your organization to participate changes, then you need to inform the Intern Coordinator (Stephanie Remick: sremick@wlapcs.org) by December 1, 2019.
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Organization *
Website *
Address *
Please list the address where the Intern is to report during Internship February 2019-June 2019
Primary Point-of-Contact Name *
First AND Last (NOTE: This person will receive ALL communications about the Internship Program throughout the process)
Primary Point-of-Contact Email *
Primary Point-of-Contact Phone *
Secondary Point-of-Contact Name
First AND Last (NOTE: This person will ONLY receive communications once the final Intern is assigned)
Secondary Point-of-Contact Email
Secondary Point-of-Contact Phone
Please indicate the number of Interns you are able to host. *
A student interested in the following should consider applying to this Internship... *
Check all that apply!
Required
Please provide a job description/outline of expectations for the Internship. *
Are you or a colleague able to attend the Interview Fair on December 13th? *
Please indicate what, if any, paperwork/on-boarding procedures students will be required to complete BEFORE THEY BEGIN INTERNSHIP *
Check all that apply.  Please check with your Human Resources Department if you're uncertain!
Required
What time on Friday's during Internship will your Interns be required to report? *
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