Internship Proposal Form

Employer Information:
Today's Date:
Organization:
Your Name:
Your Title:
Your Phone:	Ext.
Your E-mail
Supervisor's Name:	(if different)
Supervisor's Title:
Supervisor's Phone:	Ext.
Supervisor's E-mail
Address:
City:	State:   Zip:
Organization Website
Brief description of your company:
Internship Information
Intern Job Title:
Department:
Start Date:	End Date:
Projected Work Schedule (Days/Hours):
Salary Range:
Intern will be paid:	Hour  Week  Month  Stipend  Unpaid
Application Procedure:
Application Deadline:
Date Intern will be Selected:
Will position be offered to other Universities:	Yes  No  Unsure
Will position be posted on the indianaintern.net:	Yes  No  Unsure   For more information, click here
Other Information:
Please describe the types of projects/ responsibilities the student will be assigned during the internship or include a job description:
Please describe some of the key skills and characteristics you are looking for in applicants:
Are there other areas of your organization that use interns or who may be benefit from starting an internship program?
Comments: