Internship Inquiry Form
Employer Information
Date: ______________________
Company Name: ___________________________________________________
Contact: _______________________________________________
(Last Name)
(First name)
Title: __________________________________
Phone: ____________________
Fax: __________________
Website: _______________________________
Address: _______________________________________________
Email: _________________________________
Have you ever sought or acquired an intern through North Seattle Community College? ___ Yes ___ No
If yes, how did you hear about North Seattle Community College’s Internship Program? When? ______ (Date of Inquiry)
___ Word of Mouth
___ NSCC Website
___ NSCC Student
___ NSCC Faculty
___ Industry Colleague
___ Other (Please Specify): ___________________________________________________________________________
What is your preferred method of contact?
___ E-Mail
___ Phone
___ Regular Mail
Would you be interested in learning about serving as a mentor to one of our students? ___ Yes ___ No
If yes, please answer the following:
Nature of Your Business (Industry): ____________________________________________________________________
Organization Description:
(Please include specifics regarding the daily environment including type of business, type of clientele, methods of
conducting business (i.e. walk-ins, over the phone), number of employees and departments, hours of operation, daily
goals, and standards for success) ______________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Should you have any questions regarding the above information, please feel free to contact the Internship Staff Office at
nsccinternships@seattlecolleges.edu or at 206.934.6026.
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Office Use Only
Office Rec’d Date_________ Date Added to Interfase _________