Thank you for your Interest in Summer at City Hall

Please complete the following application. You will be contacted with more information the week of April 19th 2021.

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* Personal Information

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* Date of Birth

Date

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* Emergency Contact #1

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* Emergency Contact #2

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* Job/Internship/Volunteer - Please list any job, internship or volunteer experience you have below.

Experience #1

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* Job/Internship/Volunteer - Please list any job, internship or volunteer experience you have below.

Experience #2

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* Job/Internship/Volunteer -Please list any job, internship or volunteer experience you have below.

Experience #3

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* Please list 3 professional references below. References can include: teachers, coaches, employment supervisors, mentors etc. Please do not list family members.

Reference #1

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* Please list 3 professional references below. References can include: teachers, coaches, employment supervisors, mentors etc. Please do not list family members.

Reference #2

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* Please list 3 professional references below. References can include: teachers, coaches, employment supervisors, mentors etc. Please do not list family members.

Reference #3

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