Hanley Center Internship Program (UHLI):Host Site Description

Hanley Center Internship Program (UHLI):

Host Site Description

Please contact Kaity Moloney at kmoloney@hanleyleadership.org with any questions.

Organization Information

Organization Name*

Organization Street Address *

Organization Street Address Line 2

Organization City*

Organization Zip Code *

Organization State*

About the organization*

Internship Contact Person - First Name*

Internship Contact Person - Last Name*

Intern Contact Person Phone Number*

Phone

Internship Contact Person - Email*

Internship Title*

Number of positions (this internship) available*

Time commitment (hours/week)*

Will internship be in-person, remote, or hybrid?*

Select or enter value

Internship Supervisor - First Name*

Internship Supervisor - Last Name*

Internship supervisor - email*

Internship Description*

Knowledge, Skills, Abilities & Qualifications*

(Required and preferred)

Rate of Pay*

Are there any other logistical issues to be considered, or do you have any additional notes to share?*

Work street address

Work street address line 2

Work city

Work state

Work zip code

Today's Date*

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