Host an internEmployer Interest Form Business Name * Industry * Manufacturing Healthcare Technology Business Finance Other Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Contact Name * Primary Contact Email * Primary Contact Phone * (###) ### #### Are you able to provide a structured work experience with mentorship? * Yes No How many interns are you interested in hosting? * What skills or qualifications would you like your intern to have? * Additional Comments or Questions? Thank you for your submission! A member of the Eastern Shore Bridge team will contact you soon about your application.