Dallas Works - Mayor's Summer Youth employment program

Student Internship Application

Please fill out the information below.

Student Information

I want to apply for the following Summer Job / Internship:

First Name:		Last Name:
Student ID Number: (If unknown, see your school counselor)		Date of Birth:
Email Address:		Phone Number:

Address:		Address2:
City:		State:
Zip Code:

Gender:		Parent Name:
Age in years:		Parent Email:
Ethnicity:		Parent Phone:

Race:

Are you eligible to work in the United States?

High School:

Are you attending school virtually from home ?

Grade Level:

Did you participate in the Dallas Works 2023 program?

If so, what company?

Please enter your Grade Point Average as of December 31, 2023:

Most Current Cumulative End-of-Year GPA: (4.0 point scale)

Are you involved in any of the following programs?

American with Disabilities Act Accommodations
ADA defines accommodations as modifications and adjustments that enable employees with disabilities to perform the essential functions of their job.

Please describe any accommodations you will need to participate in the Dallas Works Program:

Please let us know which social media networks you actively participate in: