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UEP Handbook.pdf - Brown University

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Internship Placement Contact Information<br />

Organization Name *<br />

Street Number and Street Name * (1234 Baltimore Street)<br />

City *<br />

State *<br />

Zip Code *<br />

Hours of Operation *<br />

What is the size of your organization?<br />

How many employees do you have?<br />

0-20<br />

21-34<br />

35 or More<br />

Type of Organization *<br />

Public Sector<br />

Private Sector<br />

Non-Profit<br />

Organization Description<br />

Please mention a few words about your organization's mission, work, and projects.<br />

Organization Culture / Organization Characteristics<br />

Please mention a few words about your organizations work culture (i.e., busy, fast paced,<br />

professional, laid back, small, large, start-up, expanding)<br />

Internship Description<br />

Name of Internship Site Supervisor *<br />

Internship Supervisor's Job Title *<br />

Internship Supervisor's E-Mail * (example@email.com)<br />

Internship Supervisor's Phone Number *<br />

(XXX-XXX-XXXX, ext. XX)<br />

Urban Education Policy <strong>Handbook</strong> page 45

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