1. Employer Information * Required Field
Business/Organization*
Business/Organization Type (for example, "Design firm")
Contact Last Name* First*
Address
City*		.	.
Zip		.	.
Phone	Area Code* Number*	.	.
Fax	Area Code   Number	.	.
E-Mail*		.	.
Website		..	.
2. Internship Information * Required Field
Number of Interns Desired		.	.
Length of Internship	One semester.....  Two semesters.....  Summer Session. 2nd 9 weeks.....   Other
Work Days*	M. T. W. Th. F. Sat. Su.   Flex	Hours/Week*
Paid/Not Paid*	Yes  No       Rate*
Benefits
Job Title*
Dept.
Duties, Responsibilities*
Basic Qualifications*
Training or Orientation Provided
3. Questions or Comments
SCC
	.	.	.
	.	.	.

THIS PROGRAM IS OPEN TO ALL STUDENT OF LOS RIOS COMMUNITY COLLEGE DISTRICT WITHOUT REGARD
TO RACE, COLOR, SEX, RELIGION, AGE, NATIONAL ORIGIN, OR DISABILITY.

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