Internship Program Application Form

Name*
First Middle Last
Date of Birth*
Month
Day
Year
Cell Phone Number*
Email (Please provide a personal email, not a school email)*
Mailing Address*
Street Address City State ZIP Code
Internship Semester Address*
(Where you will be living during the internship semester. We have 10 District Courts throughout Worcester County and would like to make commuting easier for all applicants.)

Street Address City State ZIP Code
Have you previously interned in our office?*
- Yes
- No
Internship Semester and Year*
Supervisor (If you can recall.)
Are you planning on completing this internship for any kind of credit, grant, or stipend?*
- Yes
- No
Are you applying to intern as a 3:03 Student Prosecutor?*
- Yes
- No
What is your desired internship schedule? (Start date and end date, days of the week, and preferred internship hours.)*
How did you hear about Worcester County District Attorney Joseph D. Early, Jr.’s Internship Program?*
Cover Letter*
Drop files here or

Max. file size: 20 MB.
Resume*
Drop files here or

Max. file size: 20 MB.
I hereby certify that the facts set forth in the above intern application are true and complete to the best of my knowledge and authorize the Worcester District Attorney's Office to verify their accuracy. I understand that if falsified statements of any kind or omissions of facts called for in this intern application shall be considered sufficient basis for termination. I understand that any internship offered is at will and that either I or the Worcester District Attorney's Office may terminate the internship at anytime with or without notice. I acknowledge that the Worcester District Attorney's Office requires a criminal background check on all prospective interns as a condition of their acceptance into the internship program. See G.L. c. 6, s. 172(a)(1)
Electronic Signature:*

Internship Program Application Form

Internship Program Application Form

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