Business Engagement Center

Contact Us

Business Engagement Center
University of Michigan-Dearborn
4901 Evergreen Rd
1040 Administration Building
Dearborn, MI 48128-2406

313-593-5639 (Phone)
313-593-0540 (Fax)

BECDearborn@umd.umich.edu

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Award Form

UM-Dearborn Business Engagement Center SCIA Application/Internship Form

Information

Company Name*

Company Website URL*

Internship Position Title*

Describe your company including the date the business started and current number of PT/FT employees along with their credentials.*

Describe the company culture and management style of the company. *

Internship Description

List the day-to-day tasks and responsibilities. For project work, describe the scope and the "deliverables" you are expecting. *

Describe the supervision and training the intern will be provided and to whom the intern will report. *

Describe industry or job-specific knowledge or skills needed by the intern. *

Describe desirable personal attributes for the intern candidate. *

Start Date of Internship: (mm/dd/yyyy) *

End Date of Internship: (mm/dd/yyyy)

Hourly Rate of Compensation: *

Number of Hours Per Week:*

Desired degree programs or majors: *

Desired Minimum GPA: *

Contact Information

First Name: *

Last Name: *

Address 1:*

Address 2:

City: *

State: *

Zip Code *

Phone Number: *

Email Address:*

Other Information

Are you submitting an internship application request to more than one MCRN office? *

If Yes, which office?

Submit