Agreement Form

capX PILOT: EP Agreement Form (2024)

Please complete and submit this form no later than Monday, May 13, 2024 to CAF to confirm the details of your internship or job shadow experience.

Your Name(Required)

First

Last

Name of school you are attending (or write experience-only):(Required)

Your email address:(Required)

Name of firm you will be interning / shadowing with:(Required)

Address(Required)

Street Address

Address Line 2

City

State

ZIP Code

Contact person at the firm:(Required)

First

Last

Firm Contact email address:(Required)

My agreement with the firm is for a:(Required)

Please provide the hours (note total or per week) and approx time length expected. Note: write open-ended if an end date has not been determined.(Required)

Is this a paid internship?

Yes

Please note the rate of pay per hour.(Required)

Date(Required)

Signature(Required)

capX PILOT: EP Agreement Form (2024)

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