| LAST NAME: FIRST NAME: PREFIX : DOB: |
MAILING ADDRESS: |
| NAME OF BUSINESS:
|
WEB SITE: |
| BUSINESS FEDERAL ID
NUMBER: |
E-MAIL: |
| OFFICE TEL#: CELL TEL#: FAX#: |
PRIMARY EQUINE BUSINESS
ACTIVITY: |
| EMPLOYMENT
INFORMATION: [_____] Work hours per week [_$_________] Pay rate per hour offered. [_______-_______] Work hours. [_________________] Benefits/Insurance A $15.00 EMPLOYER PROCESSING FEE IS REQUIRED FOR NON AEA MEMBER BUSINESSES: CLICK HERE FOR MORE ABOUT AEA MEMBERSHIP FEES |
The above
information may be used for Aiken Equine Alliance and University of SC official business only. . Signature |
| INTERN JOB DESCRIPTION, PREVIOUS EXPERIENCE AND
OTHER REQUIREMENTS:: |