Host Agreement

  • Internship Information

  • Mon. TimesTues. TimesWed. TimesThur. TimesFri. TimesSat. TimesSun. Times 
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  • Business Contact Information

  • Direct Supervisor(s) Contact Info:

    Please note: answering yes to the above question does not automatically disqualify Supervisor from participating in this activity.
    Please note: this field is required if a Supervisor 2 is listed. Answering yes does not automatically disqualify Supervisor from participating in this activity.
  • Career Mentor Hours: Please estimate the percent of the intern's time that will be overseen by each supervisor (total should equal 100). These numbers can be adjusted upon completion of internship.

  • Please enter a value less than or equal to 100.
  • Please enter a value less than or equal to 80.
  • Note: Hours will be logged as volunteer hours in our system. We appreciate the time taken to orient and teach our interns about your career field.

Contact us for more information: partners@sbceo.org or 805-964-4710 ext. 4413.

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