Employer Intake Form : For Industry : What We Do : Washington Alliance for Better Schools

Employer Company/Organization Name

Employer Address (location where students will be)

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Employer Main Contact

First Name *

Last Name *

Employer Main Contact Email

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Employer Main Contact Phone

What is the best way to contact this person?

Over what timeframe are you looking to host students?

Check all that apply.

How many hours do you plan to provide students with overall?

Check all that apply.

How many hours per week will be allowed onsite?

__ hours per week over __ weeks

If you are offering BOTH summer and school year, please clarify the hours for each time period here.

Will your organization be recruiting students through an HR process, or will the district be recruiting students? Explain.

How many students are you able to host onsite at one time?

Are you prepared to host students under 18, in accordance with all L & I regulations?

If you answered NO to the question above, please indicate what you need to adjust before hosting students onsite.

Will you provide pay for students while in the program?

If you answered YES to the question above, please indicate hourly rate or stipend amount you plan to provide.

We will provide ___ per hour, or a stipend of ___.

What type of internship experience are you looking to plan and provide for students?

Check all that apply.

What concerns do you have at the beginning of this process that the school district partner can address?