Apply to be an Internship Provider

 Name of Business or Organization:
 Business/Organization Location: City/Town State
 Number of years in business/operation:
 Contact person's Information    
   - Name(First Name and Last Name): 
   - Telephone:
   - E-mail
Type of Business or Organization    
 Dealership  Service  Accessories
 Marina  Manufacturing  Finance
What types of internsihps do you have available?  
 Sales   Service Accessories  Finance/Insurance
Does your business/agency have a web page?  
  No   Yes  http://www.
 Number of permanent employees
 Describe the types of student (background, skills, career interests) that would be the most desirable?  
 Have you read and are you able to meet the Internship Provider Requirements?
  No   Yes 
 Is it possible that the internship could result in a permanent position in your business or organization?
  No   Yes ( if yes, please comment.)