Host Organization Interest Form

First Name

Last Name

Title

Pronouns

Organization Name

How would you categorize your organization type?

How would you categorize the main issue or impact area of your organization?

Other:

If your organization has a secondary issue or impact area, please select below:

Other:

Email Address

Office Phone Number

Mobile Number (optional)

What is your prefered method of first contact?

How did you hear about us?

Details - if know please list the name of the person that referred you and the name of the organization where they work?

When would you like to host a Semester in the City intern?

Tell us how our team can best connect with you to share information about becoming a host?

Group Info session One-on-one info session with a staff member

Please Note

*If we do not have any upcoming info sessions we will reach out to schedule a 1:1*