F&M Works in Lancaster - Intern Request Form

Please use this form to identify opportunities for Steinman Interns to work with your organization during the academic year.

Please check the following box to indicate that you have read and agree with the program guidelines. * I have read and agree with the guidelines
Organization Name: *
Address: *
Zip Code: *
Organization website:
Name of primary contact: * First Last
Email of primary contact: *
Phone of primary contact: * - (###) - ### ####
Name of intern supervisor: (if different from primary contact) First Last
Title of Supervisor
Phone for intern supervisor: - (###) - ### ####
Email of intern supervisor:
Brief description of your organization's mission: *
Title for intern position: *
Please provide a brief description of the intern's responsibilities: *
Please provide any additional expectations you have for this internship:
Please list the qualifications you are looking for and/or what skills are ideal for a successful intern at your organization: (for example, specific language skills, Microsoft Office proficiency, etc.) *
Describe the learning outcomes the intern can anticipate as a result of this internship: (for example, the intern will learn to collaborate with coworkers, the intern will learn to analyze data, etc.) *
Describe how the intern's work will support the achievement of your organization's goals: *
If specific training is REQUIRED for the work your intern is to complete, please describe how the training will be provided and when:
If specific clearances are REQUIRED please list them below and indicate whether your organization will cover the cost of the clearances:
If you have specific hours during the work-week that your intern is REQUIRED to be available please indicate them below:
Will your intern need to have transportation (other than to and from your location) to fulfill any of the requirements of the internship? * Yes No
Each candidate will complete an application and provide a resume and coverletter. Do you require any additional information/forms to be completed by the applicants? If so, please provide the necessary instructions and upload below (if applicable):
If there are any supplemental forms, please upload them here.
Please indicate if you are interested in participating in the interview process: (to be scheduled between March 18-22) * Yes, please contact me to try to coordinate the interview schedule No, I won't be available to participate Maybe, please let me know when the interviews are scheduled and I will try to attend