SBL Internship - Cooperating Partners Contact Form


 
Company Name:
Address:
City:
State:
Zip:
Country:
Phone # (Ext):
Cell:
Email Address:
Company Industry/Service/Business:
Company Contact Person:
Company Intern Supervisor:
 
Internship Requirements:
Campus Location:
Nyack Grade:
Total Number of Hours/Week Requested:
(Suggested max=15-20 hours weekly)
Total Number of Hours/Semester:
(One semester=approx. 12 weeks)
Credit Status (Consultation with Nyack staff):
No. of Possible Credits (Consultation with Nyack staff):
(Minimum: 75 hours per credit)
For Pay?:
If Yes, approx. hourly pay:
Internship Duties: