IamPontiac! Summer Internship Application
First Name
Last Name
Date of Birth
Address
City
Zip Code
Cell Phone Number
Can You Receive Text Messages?
Please select...
Yes
No
Email Address
Emergency Contact Name
Emergency Contact email address
School & Qualification Information
What is the name of the school are you currently attending?
If you are out of school, type "none"
School Status
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In School
Drop Out
GED / High School Diploma
Last Grade Completed
Please select...
9th
10th
11th
12th
High School Graduate / GED
Some College
Associates Degree
Qualifications
:
English is a second language
Free or reduced lunch
Current / prior foster child
Single parent / pregnant or parenting
Disability
Offender
Runaway youth
Homeless
Family receives cash assistance from Department of Health and Human Services
Family receives food stamps or has a Bridge card
Do any of the above qualifications apply to you?
Please select...
Yes
No
About Me
Employment Categories of Interest
Office/Clerical
Parks and Recreation
Customer Service
Construction/Building Trades
Manufacturing
Retail
Information Session
Register for a REQUIRED information session:
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I Will register for an Information Session.
Applied after information sessions concluded
Not able to attend scheduled dates
Information Session Dates:
Upcoming Information Session Dates