2. Thank you for your interest in our Family Partnership Internship Program. Please complete this form if you have an interest in partnering with us to provide an internship opportunity to a Frederick County youth.
4. Date
   Date
6. Contact Name*
7. Email address*
8. Phone Number*
10. Business/Agency Name*
12. Industry Domain or Career Pathway
    e. g. Food, Hospitality, Retail, Health, Automotive, Vocational trade, Farming, Warehouse, Computer IT, Animal care, Childcare, Landscaping, Office Administration, ParksRecreation, etc.)
14. Minimum age requirement
15. Minimum Education requirement
17. Minimum skills/knowledge required
19. Other questions/comments
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field