Experience Iowa Employer Request Form


To create an Experience Internship Opportunity, please complete and submit the form below.

Name of Organization
Address
City
State
Zip
Phone
Organization Web Site
Employer Industry (i.e. Accounting, Healthcare, etc)
Contact Person
Title
Direct Phone
Email
Is this organizaion headquartered in Iowa?
Is your organization a member of the Technology Association of Iowa?
How many employees work for this organization?
Is this a non-profit organization?
Are your interns paid?
If so, how much per hour?
What role does your organization play in retaining recent college graduates ?