Intern Application
Please complete the form below to apply for Fall 2024 internship programs. Applications close at 11:59pm CST on Tuesday, August 13th.
Which program are you applying for?
Daytime Classes (Monday - Friday 8:00am-3:00pm for 12 weeks)
Evening Classes (Monday, Tuesday, and Thursday 5:30pm-8:30pm for 10 weeks)
Basic Information
Full Name
First Name
Middle Name
Last Name
Date of Birth
Please select a month
January
February
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Month
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Day
Please select a year
2024
2023
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1921
1920
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
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
His Place of Employment
His Phone Number
Please enter a valid phone number.
Children Living at Home
Who lives in your home?
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References
Submit the names and contact information for two people to serve as references. Family members are accepted for emergency contacts, not as references for the program.
Reference #1
First Name
Last Name
Reference #1 Phone Number
Please enter a valid phone number.
Reference #2
First Name
Last Name
Reference #2 Phone Number
Please enter a valid phone number.
In case of emergency, we should call:
Where do you live?
Apartment
Mobile home/trailer
House
Shelter
Shared home
I am currently unhoused
Do you feel safe in your home?
Yes
No
Do you have a car?
Yes
No
If not, how do you get where you need to go?
Do you have at least one close friend?
Yes
No
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Education
High School Diploma?
Yes
No
Year received:
Last grade completed:
GED?
Yes
No
Year received:
College?
Yes
No
How many years?
What training programs have you attended or completed?
Have you ever been convicted of a felony or any theft offense?
Yes
No
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Yes
No
Are you on any probation including deferred adjudication?
Yes
No
Have you ever received treatment for alcohol or drug problems? CWJC reserves the right to conduct drug tests as seen fit.
Yes
No
Are you getting medical care now?
Yes
No
If yes, for what?
Are you generally healthy?
Yes
No
Do you attend a church?
Yes
No
If yes, who is your minister/pastor/priest/rabbi?
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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.
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Financial Information
Do you have any form of income?
Yes
No
If yes, where does it come from?
Please check all appropriate blanks and state the dollar amount of any SUPPORT SERVICES you are currently receiving (NOT your monthly expenses).
Applicable?
$ Amount
CCMS
Housing (Section 8)
WIC
TANF
Food Stamps
SSI
Medicaid/Medicare
Family Support
Any Other
ANNUAL GROSS/MONTHLY INCOME
Example: $1000/month
IF MARRIED, COMBINED MONTHLY INCOME
Example: $2500
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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?
Please Select
Newspaper
Word of Mouth
Social Media
Company Website
Family / Friend
Organization
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CHRISTIAN WOMEN’S JOB CORPS OF KERR COUNTY RELEASE OF INFORMATION AND AUTHORIZATION
Signature
-
Month
-
Day
Year
Date
Place of Birth
Date of Birth
Social Security Number
Current Address
Submit
Should be Empty: