Internship Application Form
Personal Information
Name
*
First Name
Last Name
E-mail
*
example@example.com
Preferred Phone Number
*
(000) 000-0000
HOME Address
*
Street Address
Street Address Line 2
City
State
Zip Code
High School/College Name
*
Year in School
*
ex. Freshman, Sophomore, Junior, Senior, Graduate 1st Year, Law 2nd year, etc...
College Major
*
Or areas you are interested in studying
College Minor
Current GPA
*
Prospective Graduation Date
*
Month and Year
Internships
Internship Descriptions can be found on the PILOT Program webpage: putnamcountyny.gov/internapply
First Choice
*
Second Choice
Third Choice
List here any additional internship positions you would be interested in
Select Any You Would Be Interested In
*
Paid
Unpaid
For School Credit
Have You Interned with PILOT Before?
*
Yes
No
Interview
Select an interview time slot that works with your schedule. Please select the interview format you would prefer. You will receive a phone call at the time of your appointment to your preferred phone number entered above, or you will receive a Microsoft Teams meeting invite prior to your appointment. If you have questions, have difficulty scheduling, or need to reschedule please contact internships@putnamcountyny.gov
Preferred Interview Format
*
Phone
Microsoft Teams
Preferred Interview Date
*
Upload Documents
Please upload a resume and cover letter (optional), and review your application prior to submitting. If you have questions please contact internships@putnamcountyny.gov
Upload Resume
*
Upload a File
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Choose a file
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Upload Cover Letter
Browse Files
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Please verify that you are human
*
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