Internship Application

Organization *
Address *
Phone *
Services Provided by Agency *
(check all that apply)
Type of Internship *
select one
Internship Term
Internship Term
Start Date
Intership Term
Intership Term
End Date
I requested a scholarship.
I completed a job description
Please be as specific as possible as to work duties, where the intern will work, level of dress and etiquette required, and who the intern will need to interact with on a professional basis.
By signing below, I signify that:
• My agency will assist both the intern and the mentor I am assigned to the best of my ability. • I will protect the intern from discrimination in accordance with the U.S. Equal Employment Opportunity Commission’s (EEOC) regulations. • In accordance with the U.S. Department of Labor’s Fair Labor Standards Act, I will not (a) use this intern to replace a staff position and (b) I will not assign additional duties to the intern without AFP’s and the sponsoring school’s permission.