Town of Leesburg Internship Application

Thank you for your interest in interning with the Town of Leesburg!

PLEASE READ THESE INSTRUCTIONS BEFORE YOU COMPLETE YOUR APPLICATION

Applications are only accepted for jobs which are currently open.
List the title of the internship or internships that you are applying for.
Complete the entire application. Incomplete applications WILL NOT be considered.
Once you submit your application it will be forwarded to the Town of Leesburg Human Resources department for review

***Town of Leesburg is an equal Opportunity Employer and provides reasonable ADA accommodations upon request. ***

Application

Please list the position(s) you are applying for:

What is your last name?

What is your fist name?

What is your middle name?

What is your address?

City

State

Zip Code

What is your email address?

What is your telephone number?

Are you legally eligible to work in the U.S.?

Yes No

Do you have a valid driver’s license?

Yes No

Do you have a Commercial Drivers License?

Yes No

Have you previously filed an application with the Town of Leesburg?

Yes No

If "YES", for what position?

May we conduct a background check of your qualifications, character and record of employment?

Yes No

If "NO", please explain why?

Name and location of the high school you attend:

What is your graduation year?

List special qualifications and skills

Please list your previous experience, include current employment, volunteer experience, and positions held with school or similar clubs or teams

1. Employer/Organization name

Employer/Organization address

Employer/Organization email address

Employer/Organization phone number

Job Title

Hourly rate if not a volunteer

Hours per week

Supervisors name

Work Description

2. Employer/Organization name

Employer/Organization address

Employer/Organization email address

Employer/Organization phone number

Job Title

Hourly rate if not a volunteer

Hours per week

Supervisors name

Work Description

3. Employer/Organization name

Employer/Organization address

Employer/Organization email address

Employer/Organization phone number

Job Title

Hourly rate if not a volunteer

Hours per week

Supervisors name

Work Description

4. Employer/Organization name

Employer/Organization address

Employer/Organization email address

Employer/Organization phone number

Job Title

Hourly rate if not a volunteer

Hours per week

Supervisors name

Work Description

I certify that the statements made by me in this application are true, complete and correct to the best of my knowledge, and that misrepresentation or omissions may result in rejection of my application, permanent ineligibility for appointments or dismissal.

If you wish to upload your resume or other information do so here: