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Summer Work Application
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Summer Work Application
Summer Employment Program - Student Application
The Summer Employment Program is sponsored by UCSD #4 and NextGen Mentoring.
Student Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Guardian's Name
*
First
Last
Guardian's Phone
Cell Phone
*
Age
Grade
Email
*
Have you been involved with the Summer Work Program?
Yes
No
Work History
Where have you worked (list all work experience & year: babysitting, ranching, etc.)
Place Worked & Year
What did you like about it? What did you dislike?
Place Worked & Year
What did you like about it? What did you dislike?
Place Worked & Year
What did you like about it? What did you dislike?
Place Worked & Year
What did you like about it? What did you dislike?
Additional Information
Where would you like to work and why (starting with number one choice)?
*
Please list any vacations or camps you will be involved in during the summer:
When can you start to work?
*
Is transportation an issue?
Yes
No
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