Application for Criminal Justice Internship

Fields with asterisks (*) are required.

Application for semester *

First name *

Last name *

Email *

Alternate (personal) email address

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

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Phone *

Anticipated graduate date *

Student rank *

Freshman

Sophomore

Junior

Senior

Total credits completed to date *

WSU overall GPA *

Check the type of agency will you be interning with *

Adult court/probation/parole

Law enforcement

Juvenile court/probation/parole

Juvenile correctional facility

Adult correctional facility

Retail/industrial security

Other

If a different agency than one listed above, please specify

Have you ever been arrested and/or convicted of a felony? *

Yes

No

Have you ever been arrested and/or convicted of a misdemenor? *

Yes

No

If yes, please describe

Do you have any unpaid traffic tickets? *

Yes

No

Agency name at which you will intern

Agency supervisor name

Agency supervisor phone

Acknowledgement *

The information contained in this application is true to the best of my knowledge. I understand that this application may be released to the above named criminal justice agency.

Please type your full name (first, middle, last) as your electronic signature. Your AccessID will be recorded to validate your signature. *