Fillable Printable Open House Registration Form - Kansas

Open House Registration Form - Kansas

The Johnson County Department of Corrections’ Open House is an opportunity for

Prospective interns and employees to meet with staff, tour our facilities, ask questions about

Positions within our department, and gather information regarding our internship program.

The Open House will be held on Friday, October 3, 2014, from 9:30 a.m. to 3:30 p.m.

To reserve your spot, please complete the following fields and return to Josh Jacobs by

Monday, September 29

. You can contact him by email at joshua.[email protected] or by

phone at 913‐715‐7328.

Name: Phone:

Address:

Email:

Name of University:

Major Area of Study:

Anticipated Graduation Date:

Name of Academic

Advisor:

Anticipated Internship Date (check one):

Spring 2015

Summer 2015

Fall 2015

Spring 2016

Other:

Please return this form by mail or email no later than September 29, 2014 to:

Johnson County Department of Corrections

Attn: Josh Jacobs

920 W. Spruce St., Olathe, KS 66061

joshua.jacobs@jocogov.org

Open House Registration Form

October 3, 2014