Student Worker / Intern Application - San Diego County Sheriff's ...
Student Worker / Intern Application - San Diego County Sheriff's ...
Student Worker / Intern Application - San Diego County Sheriff's ...
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<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
<strong>Student</strong> <strong>Worker</strong> / <strong>Intern</strong> <strong>Application</strong><br />
Name:_____________________ ___________________ ____________________<br />
(Last) (First) (Middle)<br />
Home<br />
Address:_______________________________________________________________<br />
Work<br />
Address:_______________________________________________________________<br />
Home Phone:________________________ Work Phone:________________________<br />
DOB:_________________________ Email:__________________________________<br />
EDUCATION AND SKILLS<br />
Do you have a college degree?<br />
If yes, please complete the following:<br />
YES<br />
NO<br />
College/University:_________________________________________________<br />
Location:_________________________________________________________<br />
Degree:___________________________________Date Received:__________<br />
Are you currently enrolled in a college or university?<br />
If yes, please complete the following:<br />
YES<br />
NO<br />
College/University:_________________________________________________<br />
Location:_________________________________________________________<br />
Major:_________________________________Degree sought:______________<br />
Expected graduation date:___________________________________________<br />
Page 1 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
*If more space is necessary to answer the following questions, please use additional sheets.<br />
Are you familiar with general computer applications?<br />
(Word processing, e-mail, internet research, etc.)<br />
Any additional specialized training and/or courses you may have:<br />
YES<br />
NO<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
Page 2 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
EMPLOYMENT AND EXPERIENCE<br />
Please list your current and previous employers for the past 5 years. Begin with your<br />
most recent.<br />
1. Company Name:____________________________________________________________<br />
Address:_____________________________________________________________________<br />
______________________________________________________________________________<br />
Job Title:______________________________________________________________________<br />
Duties:_______________________________________________________________________<br />
_____________________________________________________________________________<br />
Employment dates:______________________________________________________<br />
Contact and Title:____________________________Phone Number:_______________<br />
Reason for leaving:<br />
_____________________________________________________________________________<br />
______________________________________________________________________________<br />
2. Company Name:____________________________________________________________<br />
Address:_____________________________________________________________________<br />
______________________________________________________________________________<br />
Job Title:______________________________________________________________________<br />
Duties:_______________________________________________________________________<br />
_____________________________________________________________________________<br />
Page 3 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
Employment dates:______________________________________________________<br />
Contact and Title:____________________________Phone Number:_______________<br />
Reason for leaving:<br />
_____________________________________________________________________________<br />
______________________________________________________________________________<br />
3. Company Name:____________________________________________________________<br />
Address:_____________________________________________________________________<br />
______________________________________________________________________________<br />
Job Title:______________________________________________________________________<br />
Duties:_______________________________________________________________________<br />
_____________________________________________________________________________<br />
Employment dates:______________________________________________________<br />
Contact and Title:____________________________Phone Number:_______________<br />
Reason for leaving:<br />
_____________________________________________________________________________<br />
______________________________________________________________________________<br />
Page 4 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
May we contact your present or past supervisors?<br />
YES<br />
NO<br />
If no, please explain:<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
Have you ever volunteered/interned with any other law<br />
enforcement agencies or businesses?<br />
YES<br />
NO<br />
If yes, please explain:<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
Are you willing to participate in a background check?<br />
Have you ever been convicted of a felony?<br />
Are you currently on probation?<br />
YES<br />
NO<br />
*Please understand a “yes” response to either of the last two questions is automatically<br />
disqualifying. In addition, all undisclosed and later discovered criminal history may result in<br />
disqualification during the background investigation and truth verification interview. This may<br />
include, but is not limited to the following: traffic accidents, traffic tickets, citations, employment<br />
history, drug and alcohol use, past probation, date and number of misdemeanor crime convictions.<br />
If you have additional questions regarding disqualifying criminal history do not contact the Crime<br />
Lab. You must contact Sheriff’s Personnel Division at (858) 974-2001.<br />
PERSONAL REFERENCES<br />
Please list three (3) individual references, excluding family members and employers.<br />
Name Phone number Relationship<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
Page 5 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
<strong>San</strong> <strong>Diego</strong> Sheriff’s Department<br />
REGIONAL CRIME LABORATORY<br />
5255 Mt. Etna Dr., <strong>San</strong> <strong>Diego</strong>, CA 92117<br />
(858) 467-4600<br />
GOALS AND OBJECTIVES<br />
Please give a brief explanation why you want to be an intern with the <strong>San</strong> <strong>Diego</strong> <strong>County</strong><br />
Sheriff’s Department Crime Laboratory.<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________<br />
Signature:______________________________________Date:_____________________<br />
Please forward completed application to:<br />
<strong>San</strong> <strong>Diego</strong> <strong>County</strong> Sheriff’s Department Regional Crime Laboratory<br />
Attention: <strong>Intern</strong> Coordinator*<br />
5255 Mt. Etna<br />
<strong>San</strong> <strong>Diego</strong>, California 92117<br />
*Please indicate which internship you are applying for.<br />
Page 6 of 6<br />
<strong>Intern</strong> App.<br />
Rev. 08/28/06
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