Internship Opportunity Form Company Information Company/Organization Contact Person Title Address Telephone Number Fax Number Email Address Company Website Address (if applicable) Internship Information Internship Title Is the Internship appropriate for Undergraduates? Yes No Graduate Majors? Yes No Will the internship be paid? Yes No If Yes, hourly rate/stipend Duties of Internship(List in bullet format or limit to 4-5 sentences, please) Number of Interns you would like to host each semester Fall (Aug. – Early Dec.) Winter (Mid-Dec. – Mid-Jan.) Spring (Mid-Jan. – Early May) Summer (Late May – Mid-Aug) Will this internship opportunity continue after this Academic Year? Yes No Uncertain All Majors are invited to apply Yes No If no, preferred departments (use CTRL to select all applicable) Business and EconomicsCommunication and the ArtsEducation and Human DevelopmentHealth Sciences and Human PerformanceHumanties and Social SciencesSciences In Future… Would you be interested in working with University of Lynchburg for Recruiting Employees Yes No Posting Job Announcements Yes No Participating in Career Fairs Yes No If you have any questions about this form, please call 434.544.8339.