International Internship Host Information Form

Please fill in the following questions completely and to the best of your ability. This form is intended to provide the College of Forestry with information regarding the placement of its interns, and provide necessary information to interns about where they will be working and living.

Host Organization Name *

Host Organization Address *

Host Organization Web Address

Host Organization Contact: Name *

Host Organization Contact: Email Address *

Supervisor: Address *

Supervisor: Phone Number *

Organization Information *

Please provide a brief description of the organization (main activities, location(s), size, etc.).

Job Description *

Please provide a brief description of the work the intern will be doing including the intern's job title, types of tasks, and potential areas of involvement.

Worksite Description *

Please give a description of the intern's worksite including distance to and from where the intern will likely be staying, accessibility, and transportation options.

Required Intern Qualifications *

Please describe the intern's required level of study, field of study, professional skills and/or work experience, and any special certifications (diver's license, CPR, first aid, etc.).

Preferred Intern Qualifications

Language Proficiency *

Preferred

Required

Neither Preferred Nor Required

Internship Start Date (Approximate) *

Month

Day

Year

Internship End Date (Approximate) *

Month

Day

Year

Timing of Intership *

Months/season

Times of Year/Months Interns CANNOT be Hosted *

Number of Interns You Can Accommodate at One Time *

Support Provided by Host Organization *

Please mark all that apply.

Please Describe the Support Indicated Above *

Does the Internship Provide a Salary/Stipend? *

Providing a salary or stipend is not required but does make internships available to more students.

Yes

No

Please Give Details of the Salary/Stipend *

Cost of Housing *

Please provide an estimate for the intern's anticipated cost of housing (in USD). Please indicate costs as weekly OR monthly.

Cost of Food *

Please provide an estimate for the intern's anticipated cost of food (in USD), if they will be provided meals, or if they will need to provide their own. Please indicate costs as weekly OR monthly.

Cost of Transportation

Please provide an estimate for the intern's anticipated cost of transportation (in USD). Please indicate costs as weekly OR monthly.

Other Weekly Costs

Please provide an estimate for any other weekly costs (in USD) the intern will be responsible for. Please include a description of these costs. If not applicable, write N/A.

Other information

Please add any information that may be relevant.