Section 1 of 1 in this document
2023 Mayor's Summer Youth Employment Program
Salary
$10.91/hour
Age Range
Ages 16-24
Full Name
First Name
*
Last Name
*
Date of Birth
Month
*
MM
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
*
YYYY
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Home Address
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Email
*
Date available for work if hired?
*
Highest Grade of School Completed?
1
2
3
4
5
6
7
8
9
10
11
12
Have you ever been employed with the City of Montgomery before?
Yes
No
If you answered yes above, please provide additional information.
Start Date (Month and Year)
End Date (Month and Year)
Position Held
Do you possess a valid AL Driver's License?
Yes
No
Driver's License Number
*
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First Name
Last Name
Email
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I certify that all statements made are true and correct to the best of my knowledge. Any false statement may be cause for denying me the right to employment.
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