Employer Internship Proposal Step 1 of 3 33% Organizations Name* Hours of Operation Employer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Intern Supervisor's Name* First Last Phone*Email* Intern Supervisor's Title* Additional Information or CommentsEmployer Website Internship DetailsIntern Title(s)* Number of Interns Requested for this Position Intern Learning Outcomes*We anticipate an intern will have the opportunity to grow in the following area(s) of career readiness through their work with us: Criticial Thinking/Problem Solving Oral/Written Communications Team Work/Collaborations Information Technology Application Leadership Professionalism/Worl Ethic Career Management Additional Learning OutcomeIntern Responsibilities*InternRequirements*Number of Weekly Hours*5810more than 10Rate of pay per hour (enter 0.00 for unpaid work)* Academic Majors of Interest Information about which academic degrees are suitable for the internship. Please select all that apply.Major* Select All Aviation Technology Business Computer Programming Diesel Maintenance Digital Media Emergency Tech General Education Hospitality Information Technology Machining Mechatronics Nursing Phlebotomy Respiratory Therapy Teaching Welding Technology Guidelines and RequirementsPlease read this section carefully and sign your name to indicate acceptance and agreement. · The internship must be related to one or more of the academic departments at ASU Mid-South · The intern’s work must be project-oriented. No more than 25% of the work should involve clerical responsibilities (such as faxing, copying, answering phones, cold calling, and filing). · The intern must report to a professional staff member. · The intern supervisor must meet with the intern at the beginning of the term to provide an orientation and to explain responsibilities and expectations. · The intern supervisor is encouraged to provide feedback to the intern throughout the internship. A formal evaluation of the student will be requested by Career Services at the end of the semester. I certify that I have read and understand the Academic Guidelines provided above. I certify that the Employer Organization named above is an Equal Opportunity organization, offering employment without regard to race, color, religion, gender, national origin, age or disability. I certify that all information provided on this form is true and correct to the best of my knowledge.Name* First Last Title* Email* Signature*PhoneUntitled
