I Want to Provide a Summer Internship/Job for Summer 2005


All fields with an asterisk (*) are required.
First Name: *
Last Name: *
Status: *   Parent   Alum Class of     Friend
Address: *Apt/Suite
City/State/Zip: *    
Home Phone:
Email:
Occupation: *
Area of Expertise:
Name of Business/Organization: *
Business address: * Apt/Suite
City/State/Zip: *    
Business phone: *
Business email:
Business fax:
 I am interested in providing a Summer Job(s) or Internship(s) for Horace Mann School seniors or college-age graduates
 Although I cannot provide an internship, I suggest you contact:
Please briefly describe the position(s) or internship(s) you would be willing to offer, as you would like it to be listed by us:
Job 1 Title: 
Wage(amount)  Non-paying internship    Stipend for
Description:
Special Requirements:
Other Comments:
Are you willing to hire or host more than one student?  Yes   No (If yes, how many?) 
Job 2 Title: 
Wage(amount)  Non-paying internship    Stipend for
Description:
Special Requirements:
Other Comments:
Are you willing to hire or host more than one student?  Yes   No (If yes, how many?) 
Job 3 Title: 
Wage(amount)  Non-paying internship    Stipend for
Description:
Special Requirements:
Other Comments:
Are you willing to hire or host more than one student?  Yes   No (If yes, how many?) 
Job 4 Title: 
Wage(amount)  Non-paying internship    Stipend for
Description:
Special Requirements:
Other Comments:
Are you willing to hire or host more than one student?  Yes   No (If yes, how many?) 
Job 5 Title: 
Wage(amount)  Non-paying internship    Stipend for
Description:
Special Requirements:
Other Comments:
Are you willing to hire or host more than one student?  Yes   No (If yes, how many?) 
 
Please submit this form before March 1, 2005.


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