Intern Application

Contact Information and Personal Information

Todd Martin Youth Leadership (TMYL) is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact TMYL at 517-483-4021.

*As part of the selection process for this position, TMYL will complete a background and criminal history record check through the City of Lansing’s Background Check Authorization Form.

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* 1. Please fill out your information:

Applicant Name

Address

Address 2

City

State

ZIP Code

Email Address

Phone Number

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* 2. When are you able to start interning?

Date / Time

Date

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* 3. Do you have reliable transportation?

Yes

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* 4. Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case: