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Name of Company/Organization
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First Name
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Last Name
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Job Title
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Company Address
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City
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State
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Zip
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Company website?
How did you hear about becoming an ESD WORX Internship Employer?*
Please select all that apply.
ESD Parents' Association
ESD Alumni Association
ESD Dads' Partnership
ESD Booster Club
Booth at an ESD Event
Parent Meeting
Other
Please specify:
If an individual referred you to the ESD WORX program, can you please tell us their name?
Have you or your company been a WORX employer in previous years?*
Yes
No
Who will be supervising the intern?
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Supervisor's Relationship to ESD
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Please Select…
ESD Alumni
ESD Parent
ESD Alumni Parent
ESD Board Member
WORX Partner (not otherwise connected to ESD)
Other
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ESD Class Year
Supervisor's Email
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Supervisor's Contact Number
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Career field of internship being offered:
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Please Select…
Accounting
Advertising
Architecture
Athletic Coaching
Art
Business
Communication/Journalism
Education
Engineering
Event Planning
Fashion
Film
Finance
Graphic Art or Design
Health Care/Medical
Interior Design
Law
Marketing
Psychology/Counseling
Real Estate
Sales
Science
Technology
Other
Please specify field:
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What type of internship are you able to offer?*
Shadow opportunity (intern can shadow various department personnel to learn more about the industry. This is typically a one to two week opportunity).
Interactive opportunity (a more serious internship with a deliverable at the end of the opportunity. This is typically two weeks or more).
How many interns can you take?
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Please Select…
One
Two
Three
Four
Five
Length of each internship?*
1 week
2 weeks
3 weeks
4 weeks
Will this internship be offered virtually or in-person?*
In-Person Only
Virtual Only
Combination of Virtual and In-Person
Unsure
Please explain (optional).
Internship Dates Available*
Please select all that apply.
June 5-9, 2023
June 12-16, 2023
June 19-23, 2023
June 26-June 30, 2023
July 3-7, 2023
July 10-14, 2023
July 17-21, 2023
July 24-28, 2023
July 31-August 4, 2023
Unsure at this time
Proposed daily schedule for intern (if applicable)
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What activities will intern(s) be doing?
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Are there any company policies required for the intern to participate?
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i.e. age requirements or physical requirements
What is your office dress code?
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Please list further details about the internship below:
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Feel free to attach any documents that will help further describe your internship opportunity or company.
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Please send a confirmation email to the address below*: