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Home
» Internship Site Application
Internship Site Application
Organization/Church:
*
Address:
*
City:
*
State:
*
Zip:
*
Country:
Phone:
*
Fax:
Organization/Church Website:
Internship Supervisor:
*This individual will be the on-site supervisor and contact person for the internship.
Supervisor's Education:
Position/Title:
Supervisor's Email Address:
Internship Details
Internship Type:
Full-time
Part-time
Other
Full-time (240 minimum hours, 6-12 weeks), Part-time (120 minimum hours per semester over two consecutive semesters)
If Other:
Internship Term:
Specify whether Summer, Fall, Spring, or Other and what year for each.
Your organization will provide: (Fill out all that apply)
Salary:
$
Amount: $_____ per ______
Stipend:
$
Amount: $_____ per ______
Expense Reimbursement:
Please provide details.
Housing:
Yes
Scholarship:
$
Amount: $_____
Offering/Bonus:
$
Estimated Amount: $_____
Other:
Please provide details.
The intern(s) are expected to provide:
Own Housing
Own transportation
Own expenses
Additional internship costs /fees
Other
Check any that apply.
If "Additional Costs" or "Other":
Please provide estimated amount and/or details.
Do you have an intern or interns selected?:
*
Yes
No
If you already have an intern or interns selected:
Name(s):
How did you select them?:
Knew them previously
Recommendation
Interview
Website post
Intern application
Student initiated
Other
If Other:
If you are looking for an intern or interns:
How would you prefer to select an intern or interns?:
Review applications
Post on website
Phone interviews
On-campus interviews
Interviews at your location
Assigned by NCU
Other
If Other:
Do you have any other requests or requirements?:
Submission of this form indicates acknowledgment of and agreement to the policies, procedures, and requirements of NCU’s Internship program.
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