Internship questionnaire Question Title * 1. Please provide details of the Company or Institution and a point of contact: Name of Company/Institution Name of contact Email address Website address Question Title * 2. Where would the intern / placement student be located (city/town/county)?Please list as many locations as applicable: Question Title * 3. Would you be willing / interested to offer a one week placement to a 6th form student through the Social Mobility Foundation? Yes No Question Title * 4. Would you be willing / interested to offer a short term internship / placement (usually up to a few weeks) to an undergraduate student through University Geoscience UK? Yes No Done