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Last name:

First name:

Date of birth:

Gender:

Male Female

College or University:

Classification for Fall: (sophmore, grad student, etc:

Current Address:

Street:
City:
State:

Current telephone number:
School email:

Summer Address (if Different)

Street:
City:
State:
Telephone number:
Secondary email: (if needed)

Are you a United States Citizen: yes no

*If you are not a United States Citizen, are you a Permanent Resident? yes no

Race/Ethnicity:(optional)

How did you learn about the program:

Education: List college(s) attended, starting with the most recent:
School	Major	Degree	Expected graduation date /date awarded

References:Give at least four references, including, but not limited to, persons under whom you have worked, who are not relatives, and who have first-hand knowledge of your character, personality, scholarships and ability or work skills. One reference must be your immediate past supervisor.

Full name	Title	Address including phone number	Business or school name

Please check the areas that interest you:

Business Management

Commerce

Communications

Economics

Education

Energy
Management

Finance

Human
Resources

Labor
Relations

Law

Public
Administration

Public Policy

Social
Services

Other areas of interest:

Agreement:
I certify that the statements made by me in conjunction with this application are true, complete and correct to the best of my knowledge and belief and are made in good faith. I understand that if I knowingly make any misstatement of facts I am subject to disqualification or dismissal and to such other penalties as may be prescribed by law, ordinance, or Civil Service Regulations. I understand and agree that an investigation may be made to verify the truthfulness of the statements contained in this application, including, but not limited to, information provided regarding prior employment, skills and qualifications, education, references and essay. I hereby authorize the City of Philadelphia to conduct such an investigation, and release the City of Philadelphia and its subsidiaries, affiliates, employees, agents and representatives from any and all liability as a result of any inquires made while conducting this investigation. (By clicking Submit I agree to these terms)

Part II:
A current resume is required with each application. Resumes are to be sent to mip@phila.gov. The resume should reflect your past work history and any school or community activities in which you have been involved. Include the names of all organizations, the title of the organization and the dates of participation.

I understand that my application will not be subject for review until all materials have been received, including a current resume.

Part III:

Complete and submit an essay not to exceed 500 words. Essays are to be sent to mip@phila.gov. Describe your reasons for applying to the Mayor’s Internship Program, detailing what you believe you can contribute and what you hope to get out of an internship experience. Please include any specific areas within city government that are of interest to you.

I understand that my application will not be subject for review until all materials have been received, including the required essay.

Questions can be referred to the Managing Director's Office, at (215)686-3499, or you may direct emails to mip@phila.gov