Intern Host Commitment Form
Thank you for agreeing to host a student. We appreciate your support!
How were you referred to this program?
Sector / Department of Internship Position
Please give a brief 1-2 sentence description of your organization
How many positions are available?
Title(s) of Position (if known) - list all
Please upload job description here (optional)
Additional Requirements (Check all that apply)
TB test from intern
Background check for intern
Internship Compensation Options
We will pay youth directly.
We need payroll support.
We request a full subsidy.
We request a partial subsidy.
$2500 supports one full-time youth.We pledge to donate:
Thank you for your commitment!
Preferred Start Date
Primary Employer Contact (in charge of recruitment & selection)
Preferred Method of Contact
Advanced Manufacturing or Engineering
Agricultural and Natural Resources
Arts, Media and Entertainment
Building and Construction
Business and Finance
Education, Child Development, and Family Services
Energy, Environment, and Utilities
Engineers and Architecture
Fashion and Interior Design
Health Sciences and Medical Technology
Hospitality, Tourism, and Recreation
Information and Communication Technologies
Marketing, Sales and Service
Other Industry (write-in)
In addition to Summer Internships, Earn & Learn East Bay facilitates work-based learning opportunities throughout the year. Would your organization be interested in participating in any of the following work-based learning opportunities?
Industry Advisory Board
Workplace Student Tour
Need assistance with this form?