2010-2011 Sponsor Information Form

Associate Alumnae of Douglass College Extern Program
181 Ryders Lane · New Brunswick, New Jersey 08901-8557
Phone: (732) 932-2880 Fax: (732) 932-2883

The fields with * are required.
First Name:*
Last Name:*
Are you a Douglass College Alumna?*
Yes No
If yes, what is your class year?*
Last name as a student?
HOME
Address:
Address 2:
City:
State:
Zip Code:
Phone:
E-Mail:
BUSINESS
Organization/Company:*
Address:*
Address 2:
City:*
State:*
Zip Code:*
Phone & Extension:*
Fax:
E-Mail:*
Title:*
Extern Position Information
Job Category:*
If other, please describe:
Extern's Title:*
Extern's Responsibilities/Job Description: (Max 1000 characters)*
This is your 'pitch' to all the Douglass students reading the numerous descriptions so please be clear, creative and realistic.
Preferred skills, related majors and other qualifications. (Max 1000 characters)*
Please note that the nature of this program is for our students to ‘try a career on for size’ therefore externships with open qualifications are more likely to be matched with a student who is exploring her options after graduation. If you prefer a student who is more certain of her career plans, please specify.
Please specify the number of extern students you prefer next to the time period(s) you will participate:
Jan. 3-7 # Jan. 3-14 # March 14-18 #
If needed, I can provide housing for the student:
Housing notes: (Max 1000 characters)
Other information: (Max 1000 characters)
   
(Your sponsor information will not be submitted until you see the thank you screen)