Intern Intake Form

This form is to be completed once an intern has been selected. It helps our team align on your schedule, goals, and expectations to ensure a meaningful and successful experience.

Fields marked with an * are required.

Intern Information

Full Name *

Preferred Name (if different)

Please share your pronouns

Email *

Cell Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Education Details

Current School / University (if applicable)

Major / Area of Study

Expected Graduation Date

Is this internship for academic credit?

If yes, school requirements.

Hours, reporting, supervisor info, etc.

Internship Details

Internship Term

Start Date

End Date

Expected Weekly Hours

Typical Schedule (days/times)

Availability for Events (check all that apply)

Early Morning (before 9 AM)

Evenings

Weekends

Goals & Learning Objectives

What do you hope to gain from this internship experience?

What skills are you looking to most develop as part of this internship?

Logistics & Expectations
Please review the following expectations for your internship with the Chamber:

Do you have reliable transportation?

To attend meetings, events, and activations across the Greater Houston area.

Do you understand the Chamber’s dress code expectations?

Do you understand communication expectations?

Including timely responses and professional communication.

Do you understand attendance and punctuality expectations?

Do you understand the Chamber’s culture of radical hospitality?

Radical hospitality includes creating a welcoming, inclusive, and member-first experience.

Acknowledgments

INTERN NON-DISCLOSURE AGREEMENT *

I understand that all data, materials, knowledge and information generated through, originating from, or having to do with the Chamber or persons associated with its activities, including contractors, interns and volunteers, is to be considered privileged and confidential and is not to be disclosed to any third party. This includes, but is not limited to, pages, forms, information, designs, documents, printed matter, policies and procedures, conversations, messages (received or transmitted), resources, contacts, e-mail lists, e-mail messages, client, staff or public information is confidential and the sole property of the Chamber.

In addition, this also includes, but is not limited to, any information of, or relating to, our staff, clients, operations and activities. This privilege extends to all forms and formats in which the information is maintained and stored, including, but not limited to, hardcopy, photocopy, microform, automated and/or electronic form.

Member information, including all file information, is not to be disclosed to any third party, under any circumstances, without the written consent of the Chamber.

Any disclosure, misuse, copying or transmitting of any material, data or information, whether intentional or unintentional, will be subject to prosecution and/or monetary damages according to the procedures set by the Chamber and any applicable laws.

I understand the expectations of my internship with the Greater Houston LGBTQ+ Chamber of Commerce and commit to contributing to the team in a professional and respectful manner.

The signature of the person below acknowledges his/her/their agreement to the terms and expectations noted above.

Date

Intern Intake Form

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Affiliations & Accreditations