EmailMe Form - Internship Reservation Form

SC&RA Member Company *
Contact Name *
First Last
Contact Phone *
### - ### - ####
Email *
Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Which area of the industry will the Intern be involved in? *
Both - Trans. and C&R
Crane
Engineering
Marketing
Rigging
Specialized Transportation
Other
Intern Name *
First Last
Intern's year in school if applicable. (Ex. college junior, college senior)
Dates of Internship DD/MM/YY - DD/MM/YY
Number of weeks of Internship
Please list Intern's qualifications. *
What are the objectives of the Internship? *
How will the Internship benefit your company?
When selecting this Intern, was there any consideration of their long-term career goals in the industry?
Please explain the duties to be assigned to the Intern. *
How will you support this Intern to meet the internship objectives? *
Total Internship stipend you expect to pay. (USD amount)

Please note: The Foundation will not grant more than half of the total stipend paid to the Intern. The remainder of the Intern's stipend should be paid by the company.