Operation Intern

This is the first step of your Operation Intern application.

Please complete the following form to begin your application.

Once you have been awarded, Commerce will assign you access to the portal where you will add interns to your application.

COMPANY INFORMATION

Company Name
*

Primary Contact First Name
*

Primary Contact Last Name
*

Grant Administrator First Name (If different than Primary Contact)
*

Grant Administrator Last Name (If different than Primary Contact)
*

Grant Administrator Email (If different than Primary Contact)
**

Mailing Address/PO Box
*

Mailing Address City
*

Mailing Address State

Application Telephone
*

Contact Email
**

Mailing Address Zipcode
*

Type of Industry

COMPANY BACKGROUND

Year Company was Founded
*

Total Number of Employees
*

Year Internship/Apprenticeship(s) was Created
*

Brief Background of your Company
*

Company Website
*

Define in detail 3 learning objectives to be met for each position you are applying for. Please state the objective and how it will be measured in regards to a desired learned skill or project to be completed.
*

Are you applying for Internships, Apprenticeships or both? Select all that apply.

Number of positions applying for
**

Position Titles
*

Locations of positions
*

Contract Start
*

Contract End
*

Internship/Apprenticeship Supervisor Name
*

Anticipated Compensation, select all that apply

If other, please list
*

Will you consider filling an internship with a high-school junior or senior?

If yes, would you be interested to work with a work-based coordinator/career advisor at your local high school?

I, certify that to the best of my knowledge the information in the application is true and correct. I shall maintain accurate accounting records. I further certify that I represent an Operation Internship Program within the state of North Dakota and I am in compliance with all local, state and federal laws and regulations. I certify that the program is in good financial standing and has no delinquencies on existing North Dakota State Government grants or loans. Furthermore, I have read and agreed to the program guidelines of the Operation Internship Grant Program.

Name
*

Title
*

Signature
*

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