Please be sure to attach your resume and school transcript.

Last Name                                    First Name                              Middle Name
 
Permanent Address                          City                               State                     Zip
 
Telephone (Home)                     Cell/Work (Optional)                Social Security #
 

School Address                                 City                               State                     Zip
 
Telephone Number(s)                                                                    Email
 

Please check one of the following:
  I have never previously applied for an internship position with the Trust Corporation.
  I have previously applied for an internship position with the Trust Corporation but I have not been selected or worked.
  I have previously worked as intern for the Trust Corporation. (Please indicate which year(s):

  I have previously worked as an intern in a program funded by the Trust Corporation but I was employed by the D.C. Department of Employment Services.

If you worked as an intern for the Trust Corporation or in a program funded by the Trust Corporation in Summer 2005, please list the following information about your site:
    
Organization Name and Placement Location                         Supervisor


Please answer the following questions:
How did you become aware of the Trust Corporation's summer internship program? (college intern placement specialist, friend, former intern, community-based organization, internet, etc.)

If you are being referred by a community based organization (CBO), please list the organization's name and the person at the CBO who referred you.

When will you be available to begin work? 
At which address will you be able to receive time sensitive mail?
What is your e-mail address(that you check regularly)?

 EDUCATION

	Name and Address of School	Curse of Study/Area of Concentration/Major	Number of Years Completed	Diploma Degree
High School
Undergraduate College
Graduate Professional
Other (Specify)

RECENT EMPLOYMENT EXPERIENCE
Employer                                       Supervisor                                     Dates Employed
  From To
Address                                    Telephone Number(s)                          Hourly Rate/Salary
  Start End
Job Title                                                            Reason for Leaving
 
Work Performed


Employer                                       Supervisor                                     Dates Employed
  From To
Address                                    Telephone Number(s)                          Hourly Rate/Salary
  Start End
Job Title                                                            Reason for Leaving
 
Work Performed


Employer                                       Supervisor                                     Dates Employed
  From To
Address                                    Telephone Number(s)                          Hourly Rate/Salary
  Start End
Job Title                                                            Reason for Leaving
 
Work Performed



REFERENCES
 1.         (Name)                                                        (Phone No.)
 
           (Address)                                                   (Relationship)
 
 2.         (Name)                                                        (Phone No.)
 
           (Address)                                                   (Relationship)
 
 3.         (Name)                                                        (Phone No.)
 
           (Address)                                                   (Relationship)
 

Are you legally eligible for employment in the United States?    Yes   No
Have you been convicted of or pleaded no contest to a
felony withing the last 5 years?                                                       Yes No

State any additional information you feel may be helpful to us in considering your application.


APPLICANT'S STATEMENT
I certify that answers given here in are true and complete.

I authorize ivestigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I here by understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conflict unless such change is specifically acknowledged in writing by an authorized executive of this organization.


          
     Signature of Applicant                                              Date


* Completed applications are due no later than April 1, 2007.

* Submit aplications via e-mail to cyitcsummerinterns@gmail.com or via U.S. Mail to D.C. Children and Youth Investment Trust Corporation, 1400 16th Street, NW, Suite 500, Washington DC 20036, Attn: Summer 2007 Internships.