Legal Business/Company Name *

Enter your legal business name as shown in your W-9
 
Federal Tax ID Number

##-########
 
Company Address *

 
Company City *

 
Company Zip Code *

 
Company Type *


 
Would you like an intern(s), mentee(s), or job shadow(s)? *


 
Which of the following four ICT fields would you like an intern, mentee or job shadow from? Select all that apply. *


 
Please provide the first and last name of a point of contact. *

 
Please provide the point of contact's job title. *

 
Please provide the point of contact's phone number *

Thank you very much for submitting a request for a TechHire intern, mentee or job shadow. A business programs specialist will be in contact with you soon.

- San Diego Workforce Partnership
(business@workforce.org)
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