MassTech Internship Company Application 2020

Company Contact Information

First Name *

Last Name *

Title *

Email Address *

Phone Number *

Authorized Signatory Name* (if different from above)

*An Authorized Signatory is an employee of the company authorized to commit to binding agreements. That person is usually at the level of an executive, officer or director, or has been given authority from an organization’s Board of Directors to sign contracts.

Authorized Signatory Title (if different from above)

Authorized Signatory Email Address (if different from above)

Internship Information

Student Intern #1

Name *

Email Address *

Internship Start Date *

Month

Day

Year

Internship End Date *

Month

Day

Year

Internship Pay Rate *

$/hour

Current or Most Recent College or University *

Current or Most Recent Degree Program *

Current or Most Recent Graduation Year *

Is s/he a resident of Massachusetts? *

Yes

No

Gender *

Female

Male

Decline to Identify

By checking this box, I certify that the intern listed above is not a current employee or former full- or part-time employee of my company. The intern listed above may be a former paid or unpaid intern of my company.

Student 1 certify *

Student Intern #2

Name

Email Address

Internship Start Date

Month

Day

Year

Internship End Date

Month

Day

Year

Internship Pay Rate

$/hour

Current or Most Recent Degree Program

Current or Most Recent College or University

Current or Most Recent Graduation Year

Is s/he a resident of Massachusetts?

Yes

No

Gender

Female

Male

Decline to Identify

By checking this box, I certify that the intern listed above is not a current employee or former full- or part-time employee of my company. The intern listed above may be a former paid or unpaid intern of my company.

Student 2 certify

Student Intern #3

Name

Email Address

Internship Start Date

Month

Day

Year

Internship End Date

Month

Day

Year

Internship Pay Rate

$/hour

Current or Most Recent Degree Program

Current or Most Recent College or University

Current or Most Recent Graduation Year

Is s/he a resident of Massachusetts?

Yes

No

Gender

Female

Male

Decline to Identify

By checking this box, I certify that the intern listed above is not a current employee or former full- or part-time employee of my company. The intern listed above may be a former paid or unpaid intern of my company.

Student 3 certify

Documentation Required

The MassTech Intern Partnership Program requires the certain information to verify company and intern eligibility for the program. Please upload the following documents as a single PDF file:

Internship Description(s)
Student Resume(s)

If you experience difficulty with the upload process, please contact us at intern@masstech.org.

How did you hear about this program? *

Other

By clicking submit below, you acknowledge the following statements:

If accepted into the MassTech Intern Partnership, my company will need to confirm its participation by signing and returning an Intern Sponsorship Agreement that stipulates the general terms and conditions of the program’s funding agency, the Massachusetts Technology Collaborative.
The MassTech Intern Partnership is offering stipend subsidies for summer 2020 internships. It is expected that most summer internships will run between May and September 2020. Intern stipend subsides are available on a reimbursable basis for up to 50% an intern's hourly wage for up to $8 per hour for a total of $3,200/year per individual intern. Eligible companies in the priority focus areas of Cybersecurity, Digital Health, Fintech, Internet of Things (IoT), and Robotics may apply for up to 3 interns per program period.
Stipend reimbursement is available only to eligible companies that hire eligible interns and treat their interns as employees of the company and not contractors or subcontractors and pay interns as W-2 employees with required payroll withholdings.
When seeking reimbursement for intern stipend(s), all participating companies will need to provide necessary documentation, including official proof of payment of intern stipends, and submit MassTech’s Reimbursement Form. The submission deadline for all summer reimbursement materials is October 31^st, 2020.

Note: Applications from non-priority tech sector companies will be reviewed after April 1st, 2019, regardless of the date of submission.

MassTech Internship Company Application 2020

Company Stipend Application

Company Information

Company Contact Information

Internship Information

Student Intern #1

Student Intern #2

Student Intern #3

Documentation Required

By clicking submit below, you acknowledge the following statements:

About MassTech (Mega Menu)

Innovation Economy (Mega Menu)