Stephen E. Garner Summers of Service Internship Application

For questions or more information, please contact Carmela LoRusso: clorusso@uwtc.org, or call (607) 272-6286.

Stephen E. Garner Summers of Service Internship Application
Please complete form and submit by clicking on the "SUBMIT" button at the end of the application process, no later than Friday, June 17, 2011 at 5:00 PM. You may attach a file of your resume at the end of the application. United Way of Tompkins County will contact you for an interview upon application completion.
Please note the * symbol is mandatory information you must fill in before continuing to the next application page.

Today's Date:

First Name:

Last Name:

High School Name:

What grade will you be entering?:

Home Street Address:

City:

State:

Zip Code:

Home Phone Number: (xxx)xxx-xxxx

Cell Phone Number: (xxx)xxx-xxxx

Email Address:

Days of the week available to work (please mark all that apply):

To select multiple selections please use CTRL + Enter

Do you have a license to drive?:

State of Issue:

Do you have a car available?:

Please mark all computer technical skills that apply:

To select multiple selections please use CTRL + Enter

Other computer technical skills, list all that apply:

Stephen E. Garner Summers of Service Internship Application

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