| Contact Name: | |
| Contact Email Address: | |
| Contact Telephone: | |
| Company Name: | |
| HR Contact or Alternate Staff Member | |
| Alternate Staff Member Email Address | |
| Alternate Staff Member Telephone | |
| Mentor Name (if different from primary contact) | |
| Mentor Email | |
| Mentor Telephone | |
| Company Description (strictly 50 words or less): | |
| URL of Company Website | |
| Internship Location (City, State): | |
| Position Description (strictly 200 words or less): | |
| Are there additional procedures specific to your company that an applicant should complete (i.e. an internal internship/job application). | |
| Do agree to work with the CCEFP in identifying a candidate from the pool of applicants who will be well suited for your internship position? | Agree
Do not agree
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Information only: The Fluid Power Scholars Bootcamp is scheduled for May 21 - 24, 2012 at Milwaukee School of Engineering. Please mark your Scholars' calendars. |
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