Company & Contact Information

Company Name *

Your Full Name *

Your Job Title *

Work Email Address *

Work Phone Number *

Website *

The Opportunity

We are interested in: (Check all that apply) *

Hosting a single internEstablishing an ongoing internship pipelineLearning more about a partnershipAttending a future career fair or networking event

What type of internship role are you looking to fill? *

Which department would this intern join? *

Please provide a brief description of the potential projects or responsibilities for this role. *

Our Shared Impact

What does "social impact" mean to your company? (Check your top priorities) *

Providing opportunities for underrepresented groups in tech/tradeInvesting in local talent and our community's economyPromoting diversity, equity, and inclusion (DEI) in our workforceSupporting accessible education and career pathwaysOther

If "Other", please specify:

Is there a specific community or mission your company is passionate about supporting?

Logistics & Next Steps

What is the ideal start date for an intern?

What is the preferred duration of the internship?

Less than 3 months3-6 months6+ months

Is this a:

Paid internshipUnpaid internship (Note: Please be aware of local labor laws regarding unpaid internships)We are open to discussion

How did you hear about us?
Google SearchSocial Media (Please specify below)ReferralIndustry EventOther

If Social Media or Other, please specify: