CWJC Intern Application

Intern Application

Please complete the form below to apply for the Spring 2023 internship program. Applications close at 11:59pm CST on Monday, February 6th.
Basic Information
Full Name

First Name Middle Name Last Name
Date of Birth

Month Day Year
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address
Phone Number
Cell
Please enter a valid phone number.
Driver's License

State Number
ID or Green Card

State Number
Are you currently working?
Where?
What are your hours?
Phone number at work:
Marital Status:

Single Married Divorced Widowed Living with someone
Husband/Significant Other

First Name Last Name
His Date of Birth

Month Day Year
His Place of Employment
His Phone Number
Please enter a valid phone number.
Children Living at Home
Who lives in your home?

Work History

Detail your previous work experiences (up to 4). If you haven't worked previously, write NA.
Experience #1
Experience #2
Experience #3
Experience #4
Have more experience?

Feel free to email us or describe other relevant experiences during the interview stage of the application process.

Short Answer

Each answer to the questions below should be about a paragraph (4-6 sentences).
What additional support services would you need in order to complete this job readiness program?
If not applicable, write NA.
Why are you seeking help from Christian Women's Job Corps of Kerr County?
What would you like to be different about your life?
How did you hear about us?

CHRISTIAN WOMEN’S JOB CORPS OF KERR COUNTY RELEASE OF INFORMATION AND AUTHORIZATION
Signature

Clear
Month Day Year
Date
Place of Birth
Date of Birth Social Security Number
Current Address
Should be Empty:

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Intern Application