Partnership Intake Form

Partner With Us.
Create a Ripple Effect.

If you don’t have a formal internship program available, but you have access to resources and individuals who can help our students secure industry opportunities. Let’s connect and discuss.

Please complete this brief intake form and we'll get back to you about the next steps.

Company/Organization *

Website / URL

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Person

Name of Contact Person for Company/Organization *

First

Last

Job Title *

Phone Number *

Email *

Confirm Email

Additional Information

Detailed Description of Potential Internship Duties

Please provide a detailed description of potential internship duties or use the upload files field.

Potential Professional Development Opportunities

Please add potential professional development opportunities or use the upload files field.

Upload Files

Click or drag files to this area to upload. You can upload up to 4 files.

Envisioned Hours Per Week

Envisioned Number of Weeks

Compensation *

Paid
Unpaid

Additional Comments

Phone

Partnership Intake Form

Partner With Us. Create a Ripple Effect.

Contact Person

Additional Information

Partner With Us.
Create a Ripple Effect.