College Internship Requests

To be completed by Advisor/Liaison.

Please share the general outcomes your program wishes to accomplish through internship placements at TLC. With the below information in place, we are best able to respond to your request(s) for student internships at TLC. After this information is reviewed, a member of our TLC team will respond to you and the intern applicant.

Name

First NameLast Name

Email

example@example.com

VP:

Please enter a valid phone number.Format: (000) 000-0000.

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

How do you prefer to be contacted? (Select all that apply.)

Name of Student for internship:

First NameLast Name

What college/university do you represent?

Please select the department(s) of interest for internship:

What course or program is this internship a requirement for at your college/university?

Please provide a link to the Handbook Policy for your request internship, or upload a document below:

Upload Internship Documentation/Policy:

What is the purpose/overall goal of the internship?

What are the requirements for the students interning? Please share information including the number of hours needed to be completed, including timeline (duration, start and end date etc), as well as expected responsibilities for the student.

What are the required activities and required college-related forms/tasks, etc. to be completed?

What would be the expectations for TLC staff member(s) if they are supporting the intern at TLC? What forms/paperwork would the TLC staff member supporting your student be expected to complete?

Do you have an intern handbook or specific written guidance on internship protocol and partnerships?