Internship Host Form

Please complete this form if you are interested in hosting an intern. The project will cover the cost of 160 working hours at a rate of $10/hr. Additional hours will be covered by the Internship Host. If you would like to host more than one intern, please complete one form per internship.

denotes required fields.

Basic Information

First name

Last name

Phone number (daytime)

Internship Location

Address 1

Address 2

City

State

Zip /Postal Code

Internship Information

Website of your business

Please describe the nature of your business, including its ownership structure and its history.

What kind of career path describes the internship? Choose all that apply.

Research

Marketing

Policy

Farming/Ranching

Extension

Internship Details

Please describe the learning opportunities the student will have on the internship. The primary purpose of the internship must be educational as opposed to performing tasks otherwise assigned to employees. The supervisor should provide regular and consistent training.

How many hours per day do you expect your intern will be working?

How many weeks will the internship last?

Do you have any special requirements or required prior experience for the intern?

Please provide the name and phone number of two independent people that can provide references about you and your business.

Are you willing to agree to the terms of the Memorandum of Agreement and Internship Host Guidelines for Supervising Intern Students (link to Form B.1 and Form B.2 given below the end of this form). To be completed later, when we assign you an intern.

Yes

View terms and then select yes or no.

Memorandum of Agreement and Internship Host Guidelines for Supervising Intern Students (Form B.1 and B.2)

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