Las Positas College Work-Based Learning Students.

Employer Request Form

Thank you for thinking of Las Positas College students for an internship position within your organization. Please complete this form and submit it. We will contact you as soon as possible.

You may download the Employer Request Form (49K Word Document), complete it and send it to:

Leslie Gravino
3000 Campus Hill Drive,
Livermore, CA 94551-7623

Business/Agency/Organization
Business Phone
Department/Contact Person
Contact Phone Number
Contact Email Address
Street Address
City
Zip Code

Number of interns desired:
1 Semester
2 Semesters
Summer session
Other, specify:
Compensation:
Paid (Rate $/hour)
Not Paid
Stipend (specify)
Hours per week
Specific Days

Type of Organization
Job Title
Duties, Responsibilities, Projects to be Performed by the Intern
Training/Orientation Provided by the Organization
Basic Qualifications Required and/or Special Skills, Experience or Academic Background preferred

Work Based Learning

Leslie Gravino
Work Based Learning Coordinator
925.424.1876 or
925.424.1236