| Contact Name: | |
| Contact Email Address: | |
| Contact Telephone: | |
| Company Name: | |
| Company Description (approximately 50+ words): | |
| URL of Company Website | |
| Internship Location (City, State): | |
| Position Description (150 words or less. Position title and brief description of responsibilities): | |
| 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? | |
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