Educational Institution Partnership Interest FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastJob Title *Department *AdmissionsRegistrar's OfficeFinancial AidAcademic AffairsStudent ServicesCareer ServicesWorkforce DevelopmentCounseling CenterLibrary ServicesIT SupportHuman ResourcesFaculty AffairsResearch and GrantsContinuing EducationInternational ProgramsAthletics DepartmentAlumni RelationsMarketing and CommunicationsCurriculum DevelopmentAssessment and AccreditationDiversity and Inclusion OfficeFaculty/ProfessorStudent Success ProgramOtherEmail * Interested You Future Phone NumberInstitution Name *Type of Institution *Community CollegeUniversityTrade SchoolTechnical CollegeAlternative Education ProgramWorkforce Development ProgramCareer CenterOtherIf other selected please enter hereInstitution Website *City *State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhat Kind of Partnership Are You Interested In? *Integrating micro internships into academic programsOffering students access to Campus to Commerce internship opportunitiesCollaborating on workforce development initiativesHosting employer networking eventsDeveloping custom internship programs for specific majors/programsOtherIf other selected please enter here Which Fields of Study or Departments Would Be Interested in Micro Internships?Which Student Demographic(s) Would Benefit Most?What Challenges Do Your Students Face in Finding Internships?What Support or Resources Would You Like From Campus to Commerce?Are You Interested in Future Partnership Meetings? YesNoHow Did You Hear About Campus to Commerce?Social MediaFriend or FamilyEmail NewsletterWebsiteEvent or WorkshopAdvertisementCampus FlyerWord of MouthOnline SearchReferralOtherAgreement Checkbox *I understand that submitting this form expresses interest in a partnership and that Campus to Commerce will follow up with next steps.Submit
