Business Internship Application

A business may offer different types of internships within the same company.
Please submit a separate application for each internship.

Date

/ /

Company Name

Company Website

E-Mail Address

Contact Person

Address

City

State

Zip Code

Telephone

Fax

Type of Business

Internship Title

Please select one ■

Paid internship (please enter the hourly rate below)
This internship is unpaid

Please enter hourly rate

Interns are generally paid between $8 and $20 per hour

Company Description

Please provide a brief description of your company.

Internship Description

Internship Requirements

Remarks

Workers' Compensation Insurance

Please note that all employers are required by New York State Department of Labor to provide Workers' Compensation Insurance Coverage for student interns, both paid and unpaid, throughout the duration of his/her internship.

File Upload

Attach a document if needed

RCC Policy

By submitting this application the company agrees to accept student interns based on eligibility requirements and to operate without regard to race, color, religion, sex, age, national origin, disability, marital status or sexual orientation, in accordance to Federal and State law.

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Business Internship Application

Business Internship Application