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UW-Stout Cybersecurity Internship Program - Report a Student Hire
Thank you for your willingness to host a UW-Stout Cybersecurity Intern, we are excited for your company to be part of this Wisconsin Department of Workforce Development grant-funded opportunity. Please report the essential information to allow UW-Stout to process wage reimbursement.

Your contact information

Name (First & Last)

Company/Organization

Position/Job Title

Email Address

Phone Number

Student Information
Who did you hire?

Name of Student Hired (First & Last)

Position Title

Estimated Start date

Hourly Wage

Site Supervisor Information
Who will be supervising this UW-Stout student?

Name (First & Last)

Job Title/Position

Email Address

Phone Number

Payroll Documentation Submission
UW-Stout will need to regularly communicate with an individual at your company to obtain the payroll documentation required for wage reimbursement. Who should we contact for this information?

Name (First and Last)

Job Title/Position

Email Address

Phone Number

Upload Signed Agreement
Download & Print Document Here, Sign, and Upload Document below (A fully executed copy will be e-mailed to the contact listed above)