Office of Operations Administrative Services

Civil Engineer/Technician Student Internship Program Application

Note: In order to be considered for this program, your current college Official TRANSCRIPT must be attached to this application. Applications received without an official transcript will not be considered.

*= Required Fields

Name/College

*First Name:

*Last Name:

*College/University:

Demographics

The following information is used for statistical purposes only:

Gender:

Ethnicity:

Work Eligibility

Legal right to work in the United States:

*Can you, after employment, submit proof of your legal right to work in the United States?

Contact Information

Contact Information:

*E-Mail Address:

*Mailing Address (Street)

*City:

*State:

*Zip Code:

*Phone -Area Code and Number:

Alternate Contact Information:

Alt Mailing Address (Street)

Alt City:

Alt State:

Alt Zip Code:

Phone -Area Code and Number:

College Information

*Major:

*Anticipated Total Credits Completed Before Desired Start Date:

*Semester or Term?

*Current Enrolled Credits:

*Anticipated Graduation Date (format: MM/DD/YYYY):

*Course Schedule: (Click Browse to select a file. Attachment type must be an Adobe Acrobat PDF document.)

*Are you a first semester/term student?

*Have you Completed a Degree?

If yes, Major

Driver's License

*State

Employment Information

Résumé and/or Cover Letter are optional attachments: (Click Browse to select a file. Attachment type must be an Abobe Acrobat PDF document.)

Please select dates you are available for employment.

*Beginning Date (format: MM/DD/YYYY):

*Ending Date (format: MM/DD/YYYY):

*Are you a current State of Michigan employee or have you ever been a State of Michigan employee (this includes, but not limited, student assistant, Co-op/Internship Program, TRAC Internship Program, and Youth Development and Mentoring Program)?

*Are you related to anyone working at the Michigan Department of Transportation?

MDOT Programs

*Have you ever participated in any of the following MDOT programs?

- Road Construction Apprenticeship Readiness Program (RCAR)

- Transportation & Civil Engineering Program (TRAC)

- Youth Corps Program (YCP)

- Youth Development and Mentoring Program (YDMP)

Application Comments

Comments: (Limit 500 Characters)

Comments Text Area Characters Remaining

Work Location Preference

*1)

*2)

Disclaimer

I have read the disclaimer and I certify that all information contained on this application is true and complete. I agree and understand that any misstatement, falsification, or omission of information will result in my forfeiting any rights of consideration for employment with the Michigan Department of Transportation or, if hired, could lead to my dismissal.

I understand that employment is contingent upon meeting all eligibility requirements. Failure to meet the program eligibility requirements or to provide the latest official transcript at the time of hire will result in dismissal, if hired.

DISCLAIMER: Your application for this program does not guarantee that you will be contacted for further consideration.

*= Required Fields