South Arkansas Community College
Request For Internship Student
Date:__________________________
Company/Business/Employer Name:____________________________________
Address:___________________ City:__________________ Zip:______________
Telephone:_________________ Fax:__________________
E-mail:______________________
Contact Person/Title:_________________________________________________
Internship Supervisor:________________________________________________
Type of Business/Products/Services:
Internship Student Job Title/Position:
Description (Please attach detailed description of the duties/tasks/ projects the
students will be asked to participate in.)
Application Required: (Please indicate)
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