Office of Worcester County District Attorney Joseph D. Early, Jr.
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Internship Program Application Form
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
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Select files
Max. file size: 20 MB.
Resume
*
Drop files here or
Select files
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:
*
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