EmailMe Form - 2016 MATE Internship Host Form

Name of person submitting request *

First Last

Email *

Phone number *

### - ### - ####

Name of vessel or organization to host the intern *

Contact Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Desired start date *

MM / DD / YYYY

Desired end date *

MM / DD / YYYY

Airport you prefer the intern to fly into at the start of the internship *

Airport you prefer the intern to fly out of upon completion of internship *

Is the internship entirely at-sea? *

Yes

No

Will you be able to provide room and board if the intern needs to stay on shore between cruises or before/after a cruise?

Yes

No

If yes, where will the intern stay?

Is a passport required for this internship? *

Yes

No

It is preferred, but not required.

Is a TWIC card required for this internship? *

Yes

No

It is preferred, but not required.

Number of interns requested for this opportunity *

1

2

3

Description of the internship and duties to be expected of the intern. If there are time periods between or before/after cruises, be sure to describe the shore-based activities expected.

1 / 2