MIIC Agency Application & Intern Position

Employers, please complete this application to be considered for funding from the Maryland Institute for Innovative Computing. This form needs to be filled out for each individual intern position that you are applying for funds.

First Name

Last Name

Title

Phone Number

Email address

Please enter correct email address to receive MIIC approval emails

Re-enter Email Address

Payroll First Name

Payroll Last Name

Payroll Email

Agency Name

Select "Other" if your agency is not in the list

Add

Website

Address 1

{name}

Address 2

{name}

City

State

Zip Code

Org. Description

{name}

Participated in MIIC before?

Semester/Term of Intern Hire

Fall
Spring
Summer

Year of Intern Hire

2025

Internship Title

What subdivision will this intern report to for R*STARS processing?*

Position Description

Enter details about role and responsibilities, qualifications, preferences

{name}

Preferred Majors

{name}

Hourly Pay Rate of Intern

How will the internship benefit your agency?*

{name}

How will the internship benefit your candidate?*

{name}

Have you hired a candidate or made an offer?

Would you like MIIC to advertise this position for you?

Read more about how MIIC can assist with advertising your role below: https://mtip.umbc.edu/recruit/

Is this a new internship position for your organization?

If you have any other comments that you would like to add to your application, please enter them here:

{name}

Payroll Confirmation

I acknowledge that this intern will be placed on my agency's payroll.

Application Confirmation

I certify that the above information is correct and that the funding I am applying for will be used to subsidize a candidate in a technical internship as defined by the Maryland Institute for Innovative Computing.

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