Internship Application

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Availability*

Weekday mornings
Weekend mornings
Weekday afternoons
Weekend afternoons
Weekday evenings
Weekend evenings

Interests*

Education*

High School
Trade School
1 year College
Certificate Program
2 years College
3 years College
Bachelor’s Degree
Specialist Degree
Master’s Degree

Trade School For:

Special Skills or Qualifications

Previous Work and Volunteer Experience

Person to Notify in Case of Emergency*

First Last

Person to Notify in Case of Emergency: Address*

Street Address Address Line 2 City State ZIP Code

Person to Notify in Case of Emergency: Phone*

Resume Upload*

Allowed file types: pdf,doc,docx,txt,odf

Agreement : Name*

First Last

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an intern, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Agreement Date*

Agreement Signature*

Our Policy

It is the policy of the City of Muskegon to pursue Equal Employment Opportunity in city government for all persons; and to prohibit discrimination in employment on the basis of race, religion, color, gender/sex, height, weight, marital status, familial status, national origin, age, veteran status, or disability as defined by federal and state law in our relationship with applicants for employment, employees of the departments, and the public. It is resolved that no person shall adopt, enforce or employ any policy or requirement which has the effect of creating unequal opportunities with regard to City-provided services according to sexual orientation or gender identity.

Thank you for completing this application form and for your interest in internship opportunities with the City of Muskegon.

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