Title*
First*
Last*
Email*
Phone*
CCDS Relationship*
Alumnus/Alumna
Parent
Faculty/Staff Member
Friend of CCDS
Other
Field of expertise or career*
You would consider offering
Job Shadowing (8-40 hours) in March, May or June
Summer Internship (3-8 weeks, unpaid)
Other (please describe in the text box below)
Description
Briefly describe the opportunity you would offer*
Where would this opportunity be located*
City, State
Student
Ideally, what type of student would you prefer? Please list any previous course work, prior experience or age requirement that might be needed or preferred*
Previous Opportunities
If you have offered shadowing/internship opportunities before, could you briefly describe what you have offered?
Referral
If you have other contacts who might be willing to offer and internship, please list their names, job titles, company name and contact information.
Please send a confirmation email to the address below*: