DCAS - Intern Request

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Intern Request
	Oh snap! This form seems to be invalid :( Yay! Everything seems to be ok :) * - indicates required fields Agency and Work Select Agency Agency Code Name of Center (if applicable) Name of Work Unit Work Location Address City State Zip Code Borough Agency PSC Coordinator Name PSC Coord. Phone PSC Coord Email Work Unit Function and Supervisors Function of Unit Work Unit Head Phone Fax Email Supervisor Phone Fax Email Internship Description, Duties, Responsibilities and Prerequisites Description of Internship (Be Specific) For Non-Clerical, Clerical, Field, please enter Work (%), but omit % Non-Clerical Duties Clerical Duties Field Duties Special Experience Required to Complete Assignment Skills Required Courses Required (Preferred) What skills can the intern expect to develop? Interpersonal Interviewing Writing Computer Organizational Analytical Oral Internship Schedule Select a Program Year from the drop-down list (right) Select an Academic Term from the second drop-down list (far right) Start and End Dates (below) must be entered in MM/DD/YYYY format, only highlighted fields are required Note: End Dates must be greater than Start Dates, and Fall Start Date must be greater than Summer End Date Program Year Academic Term Summer (Jun - Aug) Start Date End Date Weekday Schedule Mon - Fri Day Eve Both Weekend Schedule Sat Sun Day Eve Both Fall - Spring (Sep - May) Start Date End Date Weekday Schedule Mon - Fri Day Eve Both Weekend Schedule Sat Sun Day Eve Both Interview Preference Intern can go directly to Unit Head/Supervisor for interview Intern must see Agency Coordinator first Intern must see Agency Coordinator after seeing Supervisor

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