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Community Internship Education Pilot Program
The Internship Program Approval is to be used for initial applications, changes to the program, and annual calendar year renewals.
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Internship Program Approval
Internship Program Completion
Internship Program Approval
First Name
Last Name
Email
Phone
Title/Role
Agency Name
Agency Code
Calendar Year Seeking Approval
Policy and Procedures
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Upload requirements
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types:
txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods
.
Internship Program Outline
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Upload requirements
One file only.
100 MB limit.
Allowed types:
txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods
.
Internship Program Completion
First Name
Last Name
Email
Phone
Title/Role
Agency Name
Agency Code
Start Date of Internship Program
End Date of Internship Program
Number of Interns Enrolled in Program
Number of Interns Completed Program
Internship Program Completion Letters (Must Be on Agency Letterhead)
Upload
Upload requirements
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types:
txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods
.
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