Externship Sponsor Application

Fall 2009

Sponsorship Applications Due: November 16th, 2009
Externship Placement Notification: November 24th, 2009
Externship Period: January 11th, 2010 to January 15th, 2010
(You may be able to arrange alternate dates with students)

Required fields are marked with . Thank you.

Sponsor Information

First Name
Last Name
Title
Company
Address
City
State
Zip Code
Phone
Email
Preferred method of contact

Industry of Company/Externship

What is the industry of the company:
What are the main job functions the student will be exposed to? Select at least one and up to three.
Choice number one.
Choice number two.
Choice number three
Preferred dates of externship
Maximum number of students
Hours of participation
Expected attire
Location of externship
If you already have specific dates for your externship, please list them.
What skills and experience would be beneficial for the extern to possess, if any (major, student year, etc.
Are there any special workplace considerations we must consider before placing a student with you?
Please include any additional information that would help us match a BC extern with you.