Application must be submitted no later than December 22, 2017

**FILL OUT FORM AS COMPLETELY AS POSSIBLE**

Company/Agency:
City:
Zip:
Telephone:
Fax:
Contact Person:
Contact Email:
Company/Agency
Website Address
:
Intern Preference
(Check all that would be applicable to this application)
Research
Marketing
Community Relations
Online
Event Planning
Media Relations
Publications
Government Relations

Other (please specify)

 

Duties of the intern:
Amount and kind of supervision to be provided :

Intern's immediate supervisor at the company/agency

Name: E-Mail:
Give a brief description of your company/agency:
Type of computer and software intern will use at the company:
Do you require that the student already be trained or familiar with this equipment?: Yes No

In applying for a KPA Associates Division internship, your company/agency agrees to:

• arrange intern's schedule to be equivalent to full-time status

• interview at least two or more intern applicants

• select an intern no later than March 18, 2018. If you have not completed the interviews by this date, you will forfeit the internship for 2018

• apply all of the money paid by the KPA Associates Division to the intern's salary

• pay all income taxes, Social Security and workers' compensation costs

• should the intern's employment end any time prior to the scheduled 8-week internship period, notify KPA immediately and return any unused amount to KPA

"Signature": My company/agency and I agree to the terms and conditions of the KPA Associates Division internship program as stated above.

Complete this application no later than December 22, 2017