Internship Application

Legacy Intern Host Application

Thanks for your interest. Please fill out this application if you have a potential internship opportunity for a young adult from one of our programs.

Please complete the application in one sitting. Fields marked with an asterisk are required.

Contact Information

Please provide your detailed contact information below.

First and Last Name *

Full Address with City, State, Zip Code *

Preferred Email (Please re-enter) *

Best Phone Number *

What is the name of your business and department (if applicable)? *

Help us match your opportunity with the right young adult.

What is the highest level of education you would like your intern to have? *

What type of internship opportunities are you able to provide? (Check all that apply) *

Paid internshipUnpaid internshipNone

Please provide your company website *

Ideally, what type of background would you like your intern to have experience in? *

What areas of development are you able to offer your intern? (Business / Health / Budgeting / etc.) *

Please provide a brief description of the internship opportunity you are able to provide *

What schedule and number of hours would you like your intern to work? *

Are there any additional benefits for your intern to consider? *

* Required fields