Internship/Practicum Program

host registration form

(Please complete all fields to ensure we have your most updated information).

 

 

Host Name:

 

Position/Title:     

 

Employer:     

 

Business Address:     

 

City:                                             State:                                             Zip Code:     

 

Phone:                                         Fax:                                                 Email:     

 

Type of Business (product or service):     

 

  Will offer remuneration                                          Will not offer remuneration

 

Company Profile:     

 

Briefly describe the types of activities that the cooperative student will participate in.  This description will be used to advertise your cooperative education/internship position.       

 

 

This information will be used to assist in matching a student to your site:

 

 

  Accounting

  Business

  Computer Information Systems

  Engineering Science and Industrial Technology

  Graphic and Web Design

 

  Horticulture

  Hospitality Management

  Human Services/Criminal Justice

  Multimedia/Photography

  Office Technology

 

 

Thank you!  You will soon be hearing from Cheryl A. Noel in the Career Development Office regarding specific details about your participation in this exciting program.  In you have any questions you can call Cheri at 724-925-4058, or email noelc@wccc.edu

 

 

Please fax or mail form to:

Cheryl Noel

Career Development Center

145 Pavilion Lane

Youngwood, PA  15697

FAX: 724-925-5802

 

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Notice of Nondiscrimination

WestmorelandCountyCommunity College will not discriminate in its educational programs, activities or employment practices based on race, color, national origin, sex, sexual orientation, disability, age, religion, ancestry, union membership or any other legally protected classification. Announcement of this policy is in accordance with state law including the Pennsylvania Human Relations Act and with federal law, including Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Section 503 and 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of 1990. Inquiries should be directed to Dr. Mary Stubbs, Affirmative Action Office, Westmoreland County Community College, 501 Founders Hall, Youngwood, PA 15697, 724-925-4097.