Online Intern Request Form

Welcome to the Internship Request Form! Please fill out the fields below. Once the completed form is submitted you will receive a confirmation email with next steps and your assigned Business Partnership Specialist will be in contact shortly.

WorkReady Internships provide Philadelphia high school students with paid workplace experiences at area businesses. These internships give young people a taste of the working world, exposure to career opportunities, and an understanding of how school is connected to economic success.

* - required fields

Internship Program:   School-Year
Work Exposure
Post Graduate
Connect me to a PYN contracted summer Provider

Employer Information
*Company Name:
Company web address:
*Number of Employees:
*Industry/type of business:

Primary Contact Information
*First Name:
*Last Name:
*Job Title:
*Address:
Suite/Apt/Floor:
*City:
*State:
*Zip:
*Phone:
*E-mail:

Secondary Contact Information
First Name:
Last Name:
Job Title:
Phone:
E-mail:

Intern Information
*Title/Type of position:
*Number of Interns/
Available positions:		   
*Ideal working hours:
(i.e. 9am - 1pm) 
*Days of the week: Mon  Tue  Wed  Thr  Fri  Sat  Sun
*Dress Code: Business Casual  
Business Professional  
Casual 		 Company Uniform  
School Uniform Acceptable
*Referred by:  Chamber of Commerce 
City of Philadelphia 
Philadelphia Academies   		United Way  
PYN Staff  
Other: 
Please describe the Intern's Duties (or upload a job description below):

Please indicate if you have already identified interns or would like them to come from a specific School/program (e.g. Philadelphia Academies, Inc.; vocational/technical schools, etc.):

*What additional clearances will be needed (to be coordinated and paid for by the employer)? Check all that apply (leave blank if none):
Criminal Background:
Child Abuse: 		Drug Test:
Physical: 		Other:
Upload Job Description (optional):
Word Documents Only 





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