Dublin Core
Title
Box 9, Folder 8, Document 21
Text Item Type Metadata
Text
t ehuse* ie od ii eee ee =
30 Courtland Street, N.E.
__ ATLANTA URBAN CORPS I Utes op gees SON dat Atlanta, Georgia 30303
INTERN NO. LY COLLEGE mE DATE Ls
Georgia State 5-20-65)
(4) LL
INITIAL ASSIGNMENT
woe | hom Fleaing
® 1607 Clifton Road, 1.8,
soness «= Ab Janta, Georgie
ts
REASSIGNMENT
FART TIME
SUMMER
sl ae
[em
LO) ae
rel
ACE CY COORDINATOR = ’ = {| PHONE a
2___ City of Atlante Mr, Dan Gwee $22-Wh63 Ext 2
ial ao
ii
con al
ADDRESS
[ee
; [to NATURE OF ASSIGNMENT 1
1
{
[2]
Grant-in-Aid Research Intern-To assis $hr elty in detarning
City Hall, Atlanta, Georgia the extent and ctatws of grants-in-aid; to research the
‘a wee of federal and state grants and prepare &@ report.
extent of woe and areas City should use which are not -
wtiliged.
2
q
Fy
: SUPERVISOR 4| SUPERVISOR'S PHONE
922 -MNES
ANE
F
1 ASSIGNMENT HOURS
(al DECLINED
UNACCEPT
ASSI AME OF CENTER
meyors Ott ce
ASSIGNM ADDRESS
904, Cts |e | ft
ENT
MON
LE
TUES
WED
THURS
FRI
|Fovo
SAT
ARTING DATE
Tere
E OF apna CE
1G 4
SUN
a | decline this assignment and wish to be reassigned because:
7 2
r [Ju wish to withdraw frorh the URBAN CORPS. (see item 5 on reverse) : [es
. DISTRIBUTION: WHITE,CANA'RY & GREEN - URBAN CORPS
PINK - AGENCY COORDINATOR AGENCY COORDINATOR
BLUE - INTERNS RECORD
FORM UC-4 9/67 M-822278
|
Pa we) ae Se th hey Fe pk ape oe Ee eS Te LE eS LN eT APT RE eT a ae
° p rd
's
ntattlinis ati
INSTRUCTIONS:
TO URBAN CORPS INTERN:
1.
This is your intern assignment. In accordance with your stated preference,
you have been assigned to the position described in Box 11 on reverse
side.
You MUST contact the COORDINATOR named in Box 8 immediately to ar-
range for an interview, at which time the exact nature of your assignment
will be outlined.
Bring all five copies of this form with you to the interview. DO NOT SEP-
ARATE THEM. At your interview, the agency coordinator will fill out
Boxes 13 through 21.
The agency coordinator will retain the pink copy. You will remove the blue
copy for your records. You MUST return the other three copies to THE h
ATLANTA URBAN CORPS, 30 Courtland Street, N.E., Atlanta, Ga. 30303.
IMPORTANT--NO PAYROLL WILL BE PROCESSED UNTIL THESE
FORMSARE RECEIVED BY THE URBAN CORPS OFFICE.
lf, before the interview, you decide that you do not want this assignment,
check space in Box 22 and state your reasons.
If you wish to withdraw from the URBAN CORPS, check the space in Box
23. THEN RETURN ALL COPIES TO THE URBAN CORPS.
TO AGENCY COORDINATOR:
1. The intern who brings this form has been assigned to the specific position
whose Assignment number appears in Box 10.
2. If you accept the intern for the assigned position, complete Boxes 13
through 21. :
Retain the PINK copy for your records.
RETURN THE REMAINING FOUR COPIES TO THE INTERN.
If the intern is not acceptable or declines the position, check the appro-
priate space in Box 13 and return all five copies of the form to the intern.
NOTE:
lf there are any questions regarding placement procedure, please feel
free to call the URBAN CORPS at 524-8091 or write:
ATLANTA URBAN CORPS
30 Courtland Street, N.E.
Atlanta, Georgia 30303
30 Courtland Street, N.E.
__ ATLANTA URBAN CORPS I Utes op gees SON dat Atlanta, Georgia 30303
INTERN NO. LY COLLEGE mE DATE Ls
Georgia State 5-20-65)
(4) LL
INITIAL ASSIGNMENT
woe | hom Fleaing
® 1607 Clifton Road, 1.8,
soness «= Ab Janta, Georgie
ts
REASSIGNMENT
FART TIME
SUMMER
sl ae
[em
LO) ae
rel
ACE CY COORDINATOR = ’ = {| PHONE a
2___ City of Atlante Mr, Dan Gwee $22-Wh63 Ext 2
ial ao
ii
con al
ADDRESS
[ee
; [to NATURE OF ASSIGNMENT 1
1
{
[2]
Grant-in-Aid Research Intern-To assis $hr elty in detarning
City Hall, Atlanta, Georgia the extent and ctatws of grants-in-aid; to research the
‘a wee of federal and state grants and prepare &@ report.
extent of woe and areas City should use which are not -
wtiliged.
2
q
Fy
: SUPERVISOR 4| SUPERVISOR'S PHONE
922 -MNES
ANE
F
1 ASSIGNMENT HOURS
(al DECLINED
UNACCEPT
ASSI AME OF CENTER
meyors Ott ce
ASSIGNM ADDRESS
904, Cts |e | ft
ENT
MON
LE
TUES
WED
THURS
FRI
|Fovo
SAT
ARTING DATE
Tere
E OF apna CE
1G 4
SUN
a | decline this assignment and wish to be reassigned because:
7 2
r [Ju wish to withdraw frorh the URBAN CORPS. (see item 5 on reverse) : [es
. DISTRIBUTION: WHITE,CANA'RY & GREEN - URBAN CORPS
PINK - AGENCY COORDINATOR AGENCY COORDINATOR
BLUE - INTERNS RECORD
FORM UC-4 9/67 M-822278
|
Pa we) ae Se th hey Fe pk ape oe Ee eS Te LE eS LN eT APT RE eT a ae
° p rd
's
ntattlinis ati
INSTRUCTIONS:
TO URBAN CORPS INTERN:
1.
This is your intern assignment. In accordance with your stated preference,
you have been assigned to the position described in Box 11 on reverse
side.
You MUST contact the COORDINATOR named in Box 8 immediately to ar-
range for an interview, at which time the exact nature of your assignment
will be outlined.
Bring all five copies of this form with you to the interview. DO NOT SEP-
ARATE THEM. At your interview, the agency coordinator will fill out
Boxes 13 through 21.
The agency coordinator will retain the pink copy. You will remove the blue
copy for your records. You MUST return the other three copies to THE h
ATLANTA URBAN CORPS, 30 Courtland Street, N.E., Atlanta, Ga. 30303.
IMPORTANT--NO PAYROLL WILL BE PROCESSED UNTIL THESE
FORMSARE RECEIVED BY THE URBAN CORPS OFFICE.
lf, before the interview, you decide that you do not want this assignment,
check space in Box 22 and state your reasons.
If you wish to withdraw from the URBAN CORPS, check the space in Box
23. THEN RETURN ALL COPIES TO THE URBAN CORPS.
TO AGENCY COORDINATOR:
1. The intern who brings this form has been assigned to the specific position
whose Assignment number appears in Box 10.
2. If you accept the intern for the assigned position, complete Boxes 13
through 21. :
Retain the PINK copy for your records.
RETURN THE REMAINING FOUR COPIES TO THE INTERN.
If the intern is not acceptable or declines the position, check the appro-
priate space in Box 13 and return all five copies of the form to the intern.
NOTE:
lf there are any questions regarding placement procedure, please feel
free to call the URBAN CORPS at 524-8091 or write:
ATLANTA URBAN CORPS
30 Courtland Street, N.E.
Atlanta, Georgia 30303
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