Externship Sponsor Application Jan. 2007

Sponsor Details:

First Name:
Last Name:
Title:
Company/Organization:
Address:
City:
State:
Zip:
Phone:
Email

Prefered method of contact:

What is the INDUSTRY of the company/externship: (choose all that apply)

What are the MAIN JOB FUCNTIONS that the student will be exposed to: (select up to 3)
Breif description of Externship:

MAXIMUM number of students/externs you can accommodate:
Work hours:

Extern's expected attire:

Location of externship:

City:
State:

Weeks you are able to host an extern (choose all that apply):

January 1-5
January 8-12
January 15-19

Preferred length of externship:

If you already have specific dates for your externships, please indicate those dates here:

What skills & experience would be beneficial for the extern to possess, if any. (major, student year, etc):

Are there any special considerations we need to be aware of in your work place that we must consider before placing a student with you?

Yes (please explain):
No

Please include any additional information you believe would be helpful in matching you with a Babson extern: