CERES Global Internship Host Application Form
Host Organisation
Name of Organisation
Website
Address
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
Mission statement and key purpose.
What is your organisation about.
Key Contacts
Contact details for the key liaison person between CERES and the host organisation.
Name of primary contact
*
First Name
Last Name
E-mail of primary contact
*
Phone of primary contact
-
Area Code
Phone Number
Name of secondary key contact
*
First Name
Last Name
E-mail of secondary contact
*
example@example.com
Phone Number of secondary contact
-
Area Code
Phone Number
Placement details
How long would you be able to host an intern
*
1.5 months
2 months
3 months
4 months
Other
What needs and tasks could an intern undertake in your organisation?
This includes what an intern's daily activities might look like.
Is internet available at your organisation?
Accommodation options available
*
Accommodation at host organisation
Homestay
Guest house or hotel
Other
Estimated daily cost of accommodation
Is internet available at the accomodation?
Meals provided if any
*
Breakfast
Lunch
Dinner
None
If any meals are provided, will the host organisation need to be reimbursed and what are the estimated daily costs?
Provide an estimate of the daily costs of only those meals that will be provided.
Are there any associated risks and dangers that an intern may be subject to?
Please detail if applicable.
Would you like to receive the CERES Global newsletter to hear about the other work we do?
*
Yes, sign me up.
No thanks
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