2024 Summer Enrichment Internship Program

Business Partner Participation Form



Submit completed survey by Friday, April 26, 2024

Please complete all applicable information.

For questions or additional information, please call Debbi Moore

575-524-1969 or email [email protected].


* 1. Name of Business or Organization
0/50
* 2. Business or Organization Address
0/50
* 3. Name of Main Contact
0/50
* 4. Title of Main Contact
0/50
* 5. Main Contact Phone Number
0/50
* 6. Main Contact Email
0/50
* 7. Please indicate number of interns will your business or organization be utilizing this year.
0/50
* 8. Please select the category or categories that best describes your type of business/organization.
If you checked "Other," on the aforementioned question, please provide description.
0/50
* 9. Please check the skills applicable to the intern positions.
* 10. Are there any specific requirements to these positions such as outdoor position, labor intensive, must pass background, must interview & minimum age requirement.
If you answered yes to the question #10, please list the requirements for this position
0/250

NOTE: Only complete information on Departments 1 & 2 if you will be using various departments for your interns. However, if you anticipate more than two (2) departments or need additional information, please call Debbi Moore 575-524-1969 or email [email protected].
11. Business Department Name #1 (if applicable) + Location
0/50
Business Department #1 Approving Supervisor Name
0/50
Business Department #1 Approving Supervisor Email
0/50
Business Department #1 Approving Supervisor Phone Number
0/50
Business Department #1 -- # of work hours required per intern
0/50
Business Department #1 -- # of interns needed for this department.
0/50
Business Department #1 Brief description of job duties.
0/500
12. Business Department Name #2 (If applicable) + Location
0/50
Business Department #2 Approving Supervisor Name
0/50
Business Department #2 Approving Supervisor Email
0/50
Business Department #2 Approving Supervisor Phone Number
0/50
Business Department #2 -- # of work hours required per intern
0/50
Business Department #2 -- # of interns needed for this department
0/50
Business Department #2 -- Brief description of job duties
0/250
Additional Comments
0/500
Submit Survey
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