Please complete this form with as much detail as possible and upon submission it will be sent to the Internship Coordinator and Executive Director of Continuing Education and Regional Development for review and further action. Please do not hesitate to call (814)362-5078 if you have any questions or email Ray Geary at firstname.lastname@example.org.
Name of Company or Organization:
City, State, Zip:
Internship Position Title:
Will the intern be paid:
Detailed Description of Job Duties:
List Qualifications; Requirements; Preferred Academic Major(s):
Is Car Required?