Internship Form for Internship Providers

Organization Information

Name of Company or Organization*

Brief Description of the Company/Organization

Street Address of Internship Location

City, State and Zip Code

Contact Person*

Contact Phone*

Contact Email*

Agency/Company Website

Internship Position Title*

Internship Position Description*

Is this a paid opportunity?*

What categories does this position fall into?*

Will this intern have direct contact with clients?*

What is the age of the population the intern would be working with?*

Age ranges listed are approximate.

During which semester(s) could you accommodate an intern or volunteer?*

How many 50-hour interns can you accommodate in one semester?*

The 50-hour internship course at UD is typically offered during fall, spring and summer.

How many 400-hour interns can you accommodate in one semester?*

The 400-hour internship course at UD is typically offered fall and spring semesters.

How many volunteers can you accommodate at a time?

Volunteers are typically not earning college credit for their time at your site and can complete hours as they are able.

Are you available for a more flexible arrangement with the intern (between 30 - 180 hours)?*

Every 30 hrs in the field equals one (1) UD credit. Students can complete up to 6 credits.

Are there any additional comments?