*Required field for submission to be accepted.

*Name: (First and Last)

*Your Title:

*Internship Title:

*Organization Name:

Website:

*Address:

*City:    *State: Select below Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

*Zip Code:

*Your E-mail:

*Phone: (i.e., 716-555-1234)   Fax: (i.e., 716-555-1234)

Compensation:  Unpaid    Paid    If paid, how much? $

      Stipend    Hour   Week    Month    Semester

*What semester is this internship SEMESTER? (check all that apply)
Fall Spring Summer Winter

Approximately how many hours per week would a student intern work?
5-10 10-15 15-20 20+

*Please provide a description of this internship position:

What minimum qualifications are required for this internship?

What academic preparation or experience is necessary for this internship?

*How would you like candidates to apply? (check all that apply)
E-mail  Mail  Phone  Fax  Website

Application Instructions: (i.e., submit a cover letter and resume, application on website, etc.)

*What contact information would you like to be listed on your posting for candidates to see? (check all that apply)
E-mail  Mail  Phone  Fax  Website

Number of positions available:

Application deadline date: (if any)

*Post this position: Always Active (ongoing)30 days 60 days    days

Has your organization supervised an intern from SUNY Fredonia before?
 Yes    No    Unknown

How did you learn of SUNY Fredonia's internship program?

Are you an Alumnus/Alumna of SUNY Fredonia?  Yes    No

Additional information or comments: (optional)