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Mayor’s Summer Work Experience Program

  1. Directions: Please complete the application below in full. If you are helping an applicant complete this form all of the information entered below should be about the applicant. The electronic signature must be the applicant’s and it represents they attest to the information and intention to apply.
  2. NOTE: The name on your application must match the name listed on your Social Security Card. Your original Social Security card will be REQUIRED upon hire.
  3. APPLICANT'S PERSONAL INFORMATION: (REQUIRED)
  4. EDUCATION: (REQUIRED)
  5. Check Highest Grade Completed:*
  6. Graduated:*
  7. MOST RECENT EMPLOYMENT/VOLUNTEER EXPERIENCE: (REQUIRED – Type N/A if you do not have prior experience)
  8. EMERGENCY CONTACT INFORMATION: (REQUIRED)
  9. Parent/Guardian #1
  10. Parent/Guardian #2
  11. ADDITIONAL QUESTIONS FOR MAYOR’S SUMMER WORK EXPERIENCE: (REQUIRED)
  12. 1. Are you a resident of Shelby County?*
  13. 2. Are you between the ages of 18-24 by June 5, 2023 and will not reach age 25 before July 28, 2023?*
  14. 3. Are you available to work EVERY WEEK DAY from June 5, 2023 through July 28, 2023?*
  15. 4. Are you available to work during the hours of 8 a.m. and 4:30 p.m.?*
  16. Disclaimer
    This position is subject to a background check for any convictions that have a substantial relationship to potential job duties. Only convictions that are substantially related to potential job duties will be considered and will not automatically disqualify the candidate.
  17. Leave This Blank:

  18. This field is not part of the form submission.