Dublin Core
Title
Box 9, Folder 5, Document 21
Text Item Type Metadata
Text
ATLANTA URBAN CORPS Internship Assignment Form
REE Rees ees
Urvan Corps Representative Date
Name of Host Organization
Organizational Unit of Proposed Assignment
Address
Assignment Location fif different from above)
Person Responsible for Internship
Title Telephone No.
Function of Organizational Unit
Internship Project Title (Outline on Reverse Side)
Beginning Date Ending Date
Full Time Part Time Approx. Hours Per Week
Special Assignment Conditions
Experience, Skills, Training or Other Qualifications Desired:
Interview Requested: Name of Interviewer
Location Phone
——
Request for assignment of an Atlanta Urban Corps intern in the described
position on the reverse side is hereby approved. | hereby certify that the
assignment of an Atlanta Urban Corps intern into this position will not result
in the displacement of a regular worker or impair existing contracts for servic
éS.
Signature Title Date
Project Outline
Describe briefly in terms of how the task serves the purposes of the
organization:
Specific objectives of internship project:
Planned orientation and approaches:
To Be Completed By Atlanta Urban Corps
Educational Counselor
Name Title
Address Phone
Technical Representative
Name Title
Address Phone
Intern
Name College
Address Phone
Approved For Atlanta Urban Corps
Signature Date
Comments