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Internship Worksite Interest Form

The Town of Hempstead Department of Occupational Resources pays the wages for interns who work at an organization to gain hands-on experience in their fields of interest.  Internships may not exceed four months unless the total number of hours of the internship is less than 280 hours.  Please complete the form below if you are interested in participating in an internship program.

1. To what sector does your business belong?
2. To which industry does your organization belong (select all that apply)?
3. Has the establishment been the subject of a Federal, State, or City investigation, criminal, or civil action?
4. Is the worksite child-care related?
5. Will interns complete community service projects?
6. Will interns be instructed to handle dangerous tools (e.g. power tools or knives)??

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