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What We Do
Mission, Vision, & History
About CYC
Mentoring
Saturday Hoops
UC Med Mentors
College and Career Success
Jobs for Cincinnati Graduates
Good Jobs Challenge Advanced Manufacturing Program
Outcomes
Annual Report Card
Success Stories
Get Involved
Volunteer Opportunities
Employment Opportunities
Outstanding Student Nomination
Volunteer Signup Form
Student Signup Form
Who We Are
Staff
Board
YP Board
News & Events
Trivia Night
Golf Outing
Dream Makers
News
Contact Us
Alumni
Donate Today
What We Do
Mission, Vision, & History
About CYC
Mentoring
Saturday Hoops
UC Med Mentors
College and Career Success
Jobs for Cincinnati Graduates
Good Jobs Challenge Advanced Manufacturing Program
Outcomes
Annual Report Card
Success Stories
Get Involved
Volunteer Opportunities
Employment Opportunities
Outstanding Student Nomination
Volunteer Signup Form
Student Signup Form
Who We Are
Staff
Board
YP Board
News & Events
Trivia Night
Golf Outing
Dream Makers
News
Contact Us
Alumni
What We Do
Mission, Vision, & History
About CYC
Mentoring
Saturday Hoops
UC Med Mentors
College and Career Success
Jobs for Cincinnati Graduates
Good Jobs Challenge Advanced Manufacturing Program
Outcomes
Annual Report Card
Success Stories
Get Involved
Volunteer Opportunities
Employment Opportunities
Outstanding Student Nomination
Volunteer Signup Form
Student Signup Form
Who We Are
Staff
Board
YP Board
News & Events
Trivia Night
Golf Outing
Dream Makers
News
Contact Us
Alumni
Donate Today
JCG 2021 Work Experience Opportunity
Internship Application
Name
School
Please Select...
Aiken New Tech
Hughes STEM
North College Hill
Oyler
R. A. Taft Information Technology
Shroder
Western Hills University
Winton Woods
Withrow University
Woodward Career Technical
Other
Grade
Work Experience you are applying for
Career / Field of Interest
Home Address
Zip Code
Neighborhood
Phone
Date of Birth
Age
Gender
Please select…
Female
Male
Other
Email
Emergency Contact Name
Emergency Contact Phone
Do you currently have a mentor?
Please select…
Yes
No
Mentor Name
Mentor Professional Title
Program Affiliate
If you are currently working, what is your work schedule?
(In hours)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Will you be involved in any school or extra-curricular activities during the internship? If so, please provide the dates/times/schedule below.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
If you do not have personal transportation, how will you get to and from work?
Some of the partner sites may require background checks, and/or drug testing; will this be an issue? (Answering “Yes” does not disqualify you from this opportunity)
Please select…
Yes
No
Have you ever been suspended or expelled?.
Please select…
Yes
No
If so, please explain
Do you have a record?
Please select…
Yes (will discuss during interview)
No
If you have a child(ren), do you have stable childcare?
Please select…
No Children
Yes
No
If you have employment experience, list your job title(s), employer(s), and dates employed; if the employment was for a summer job only, indicate “summer” for the dates.
Job Title 1
Employer 1
Dates 1
Job Title 2
Employer 2
Dates 2
Job Title 3
Employer 3
Dates 3
Job Title 4
Employer 4
Dates 4
Reference (Non-JCG Affiliate):
Name
Phone
Title
How long have you known them?
Name
Phone
Title
How long have you known them?
All items included on this application are accurate to the best of my knowledge.
Submit
