PILOT Program Sign up
Name
*
First Name
Last Name
Please Enter Full Address
*
Street Address
Street Address Line 2
City
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Alabama
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Washington
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Wisconsin
Wyoming
State
Zip Code
Home Phone
*
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email Address
*
example@example.com
Name of High School / College
*
Year
*
Freshman
Sophomore
Junior
Senior
Graduated
Anticipated or Declared College Major / Degree
*
Anticipated or Declared College Minor
*
Current Grade point Average (GPA)
*
Graduation date or Anticipated Graduation Date
*
ex. January 2023, May 2024, June 2025
Interested in
*
Paid
Unpaid
Either
Department(s) of Interest
*
Check out the P.I.L.O.T. Program website (www.putnamcountyny.com/internapply) to find a list of offered internships. Those listed are not all of the positions available. List a minimum of three departments of interest. Placement cannot be guaranteed.
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