SUMMER YOUTH INTERNSHIP PROGRAM
Employment Application (Please enter all information in CAPITAL LETTERS)
ATTENTION Fields with an asterisk * Are Mandatory  

 

APPLICANT INFORMATION

Last Name*    First*   M.I  

Time Today's Date (mm/dd/yy)


Street Address   Apartment/Unit #  

Do you reside within the Grant Area  Yes No


Click here to check of you live in the Grant Area


City   State  ZIP  Aldermanic District


Phone  Current E-mail Address*   

You will be contacted via email. Please notify if this changes


Birth Date(mm/dd/yy)*      Sex    Male  Female      


*You must be 16 by June 1, 2014
Are you a citizen of the United States?*  Yes  No     

If no, are you authorized to work in the U.S.?  Yes  No


Were you ever a SYIP Intern, working in a City Position?   Yes  No     

If yes, what department


Have you ever been convicted of a felony?  Yes  No       If Yes, explain  

 EDUCATION

High School*      Address


From      To    Did you graduate?   Yes  No       

#of Days Absent


Current Grade*   Freshman  Sophomore  Junior  Senior       GPA 

PARENT OR GUARDIAN INFORMATION

Full Name          Relationship


Address          Phone with area code

PLEASE LIST A PROFESSIONAL REFERENCE

Full Name     Relationship


Address      Phone with area code

ADDITIONAL QUESTIONS

Will you require any special accommodations during the interview process?*  Yes  No


If yes, what kind of accommodations will you need (i.e. a signer, a reader, extra time, other)?


Do you anticipate attending summer school?   Yes  No

RELEASE

If you do not meet SYIP's requirements, do you want your application
to be submitted to another program?   Yes  No

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading
information in my application or interview may result in my release.  Yes  No

Electronic Participant Signature: (type name)   _______________________________________


Or name if submitted online*     Date

To complete the application, select the Submit button below.

For more information, contact Judy Allen at 414.286.6076 or mail to:jallen@milwaukee.gov.

 

 SYIP@milwaukee.gov


 

 
Mayor Tom Barrett’s Summer Youth Internship Program (SYIP) provides youth with employment and life skills and helps them meet educational, job readiness and career exploration goals. The SYIP intern is placed in a City department such as Fire, Library, Neighborhood Services, Office of the Mayor, Administration, Common Council, Public Works, Assessor, Health, Port, or City Development for 8 weeks.

Contact Information:
Judith Allen
judith.allen@milwaukee.gov
(414) 286 - 6076