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Employer Pages: Externship Submission Form

Please complete the entire form below.
(*Required Field)
*Site Name:
*Contact Name (First):
*Contact Name (Last):
*Zip Code:
*Alternate Contact Name:
*Alternate Contact Phone:
*Equipment Available:
*Public Transportation Nearby:
*Available Parking:
*Number of Student Externs Needed:
*Student(s) will massage:
*Campus of Interest:
*Would your organization consider hiring our student extern after they complete their program?

*Note specifics that are required for student extern.
For example: Suggested/Required hours student extern must be present. Also, please state any specific details or questions below.

*Please confirm that you have read and understand the terms and conditions of the externship contract by entering your initials below.

By clicking submit, I agree to abide by the terms and conditions of the externship contract. I also understand that although entering into this agreement will allow my organization to be made available as a choice for National Holistic Institute students when they are eligible for externship, it does not guarantee the placement of students in my organization.


’“My practice, The Ultimate Touch, is thriving. My client base allows me to work full-time. I also worked at the Okinawa Karate Tournament through NHI’s event participation program. Wow, what a great experience! I really got the chance to learn how to market myself! And I had a lot of fun!”

– Yolanda Smith, NHI Graduate

National Holistic Institute • 5900 Doyle Street Emeryville, California 94608  1.800.315.3552 • nhi-deleteme[at]-deleteme-nhi [dot] edu

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