Internship Site Information Form

Please complete this form to request an intern from the GVSU Occupational Safety and Health Program.  Once the request has been submitted, eligible students will be informed of this internship opportunity.

If you have any questions, please contact Derek McCormick at or (616) 331-2649

* denotes a required field

Company Information

Site Contact Information

Internship History

Internship details

Start Date *