Bishop Externship Host Form

Thank you for hosting an Ohio Wesleyan student in your workplace. Please provide the following information:

Note: Fields marked with a red dot are required.

* = required field

Personal Information

Name *
Phone Number *
Please select the date range(s) for which you are available to host: *
I am an OWU... *

Organization Information

Organization Mailing Address *
Organization Phone Number *

Select one or more industries which best describe your organization and position the student will be shadowing.

Industry Designation *

Externship Information

Please describe the range of experience to which the Extern might be exposed within your organization. Please be as specific as possible. Items may include completing a small project, shadowing various departments, conducting market research, attending company events, etc.

Students interested in the following areas should apply for the Externship experience at your organization: *
Are you willing to host more than on extern? *
Is parking provided on-site?

Please provide any additional comments or specifications regarding your Externship:

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