Southland CAPS Internship Request Form
We thank you for your interest in hosting an Internship with Southland CAPS.  The Internship Handbook provides some additional guidance for internship sponsors and what they will be responsible for.

All Students interested in an internship will have to apply and submit their resume with Southland CAPS.  We ask that you be able to conduct an interview with the prospective intern before their placement.

All students will report back to their primary site one day per week.

We appreciate your interest in Southland CAPS. If you have any questions please contact us at 816-268-7140.
Sign in to Google to save your progress. Learn more
Email *
Business Name *
Name: *
Address (business) *
City: *
State: *
Zip Code: *
Phone Number: *
Type of Company: *
How many employees do you currently have? *
What are your hours of operation? *
Were you contacted by a student about this internship? *
If yes, what was the name of the student?
Which semester would you like to host an intern? *
What would be the optimal starting date? *
MM
/
DD
/
YYYY
Are you interested in hosting an intern from: *
How many interns per session would you like to host? *
Students are available 4 days each week for the internship. One day they report back to their host location.  How many days per week is this position for? *
Please provide a "job description" for this internship position. *
Please provide any additional comments that would be needed for this request. *
Were you referred to us by a Southland CAPS Staff member? *
If yes, what is the name of the staff member?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Raytown Quality Schools. Report Abuse
Google Forms