ITWorks Intern Request Form
Thank you for your interest in the ITWorks internship program. The students currently enrolled in the program are eager, ambitious, and thankful for the opportunity. Nothing can replace this opportunity as a chance to experience first-hand the kind of career that will truly change their lives for the better.

Students are expected to work at their internships 9am-3pm Monday through Thursday for a minimum of 5 weeks.

If you are unable to host an intern at your site, but would like to support our students, we are also offering an opportunity to sponsor an intern for a non-profit.  For more information on sponsoring an intern for a non-profit, contact Grace Harpole at Grace@TechImpact.org
Sign in to Google to save your progress. Learn more
Name of Internship Coordinator *
Name of Company/ Organization *
Phone *
Email *
Address *
Number of Internships/ Positions Available *
Are you interested in hosting an intern from the Las Vegas class, Wilmington class, Philadelphia class?
Clear selection
Are you able to pay the intern an hourly wage? *
Paid internships typically pay $10-$12 per hour. Preference is given to paid internship sites.
If you are not able to pay an hourly wage, are you instead able to provide your intern with a Las Vegas 30-day pass ($65), Philadelphia SEPTA TransPass ($91/ month) or Wilmington DARTCard ($35)? *
General Intern Job Duties:
Organization Dress Code:
Clear selection
What additional clearances will be needed (to be coordinated and paid for by the employer)?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tech Impact. Report Abuse
Google Forms