"*" indicates required fields Δ Applicant InfoName* First Last Email* PhoneDate of Birth Age*Social Security #*Drivers License #*Level of Education* High School College Graduate School Current School/College*Current Grade/Level*Major/Field of Study*Expected Graduation Date* Semester Applying For* Fall Spring Summer Other Total Hours Required for Internship*Availability (Days/Times)*Have you ever been charged with or convicted of a crime?* Yes No If yes, please explain.Please list any relevant coursework, skills, or experience that would contribute to your internship role at the Tewksbury Police Department.*Please provide a brief personal statement explaining: 1. Future career goals. 2. Why you are interested in interning with the Tewksbury Police Department. 3. What you hope to gain from the experience.*ReferencesInclude 3 references. Please provide at least one academic or professional referenceList*NameRelationshipEmailPhone Number Add RemoveEmergency ContactEmergency Contact Name* First Last Emergency Contact Email* Emergency Contact Phone*Relationship to Applicant*Acknowledgment & SignatureThis field is hidden when viewing the formAcknowledgment* I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that any false statements or omissions may disqualify me from the internship program. I also acknowledge that acceptance into the internship program is contingent upon a background check and approval by the Tewksbury Police Department.Electronic Signature*
