Box 9, Folder 8, Document 21

Dublin Core

Text Item Type Metadata

Text

= PA aT aby ae ge pp ee a ee ee ee a a a a ee
« -

thy ia | *# iA snpteanbcabogsnsh i panends erdesety J

30 Courtland Street, N.E.
ATLANTA URBAN CORPS I Utes op gees SON dat Atlanta, Georgia 30303

INTERN NO. LY COLLEGE mE DATE
Georgia State ie 5-29-65
NAME [Fg teak Fleming INITIAL ASSIGNMENT -

‘ 1607 Clifton Rosé, N.B. REASSIGNMENT
ADDRESS Atlanta, Georgie PART TIME

SUMMER

























AGENCY

___City of Atlante

ASSIGNMENT NO.

COORDINATOR . 7 ' | 8

[i

Me. Dan Gwee
; [to NATURE OF ASSIGNMENT
1
{
2 |







a Te LE

ADDRESS









Grant-in-Aid Research Intern-To assis fhe city in determing

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 -
utilized. .



en ane. Dueapyy — “THF TL3

ASSI ENT (NAME OF CENTER 17| ASSIGNMENT HOURS
(al DECLINED , : f.
ie ’ 5
fv) ors 6 ct MON
UNACCEPTABLE : ASSIGNM ADDRESS 3 :
TUES

904, Cots |e | ft as

SAT

A ~f- ’ SUN

ARTING DATE E OF apna CE
j

Tere It 196

a | decline this assignment and wish to be reassigned because:



[Ju wish to withdraw fret the URBAN CORPS. (see item 5 on reverse) es |
——————— = =



’ DISTRIBUTION: WHITE,CANARY & GREEN - URBAN CORPS rae :
PINK - AGENCY COORDINATOR AGENCY COORDINATOR

BLUE - INTERNS RECORD \
FORM UC-4 9/67 M-822278




ee ae

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
public items show