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Hire LA's Youth Intern Request Form
Intern Form
INTERN REQUEST FORM
Company Name
Address:
Division/Dept
Contact Name
Phone:
E-mail:
JOB DESCRIPTION
Job Title
Number of Openings
JOB FUNCTION
Administrative
Finance and Accounting
Marketing, Publicity, Advertising
Human Resources
Legal/Business Affairs
Sales, Sales Planning
Technology/Digital
Information Technology
Operations
Production
Environmental/Social Impact
Safety
Arts & Graphics
Facilities
Food Service
Engineering & Design
Finance
Editorial
Please Describe the functions of the position
SCHEDULE
MON
TUE
WED
THU
FRI
SAT
SUN
HOURS
Starting Date
Ending Date
Opportunities are available
Year Round
Seasonal
Summer
Other
Special Requirements (such as fingerprinting, health check, Driver’s License, Physical requirements, etc…) If YES, please explain.
NATURE OF WORK ENVIRONMENT
Casual
Business Casual
Office Environment
Outdoors
Slow moving pace
Fast pace
Other
DESIRABLE QUALIFICATIONS: Check all that apply.
CLERICAL
Filing
Typing
Answering Phones
Bilingual (languages)
Other
COMPUTER
Data Entry (Word)
Powerpoint
Database
Spreadsheet (Excel)
Internet/Email
Other
INTERPERSONAL
Inter-office Communication
Team Work
Client Interaction
Time Management
Internet/Email
Other
OFFICE MACHINERY
Fax Machine
Calculator
Computer
Photocopying
Other
CREATIVE SKILLS
Drawing
Painting
Graphic Design
Photography/Videography
Music (DJ’ing)
Other
SKILLS
Gardening
Childcare
Auto Repair
Construction
Maintenance
Other
Other
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This WIOA Title I financially assisted program or activity is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.
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