Fillable Calvert County Sheriffs Office Internship Volunteer Application (Calvert County Board of County Commissioners)

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Calvert County Sheriffs Office Internship Volunteer Application (Calvert County Board of County Commissioners)

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The Calvert County Sheriffs Office Internship Volunteer Application (Calvert County Board of County Commissioners) form is 3 pages long and contains:

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  • 37 check-boxes
  • 60 other fields

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File type: PDF

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BROWSE CALVERT COUNTY BOARD OF COUNTY COMMISSIONERS (MD) FORMS

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Internship/Volunteer Application
1
Calvert County Sheriff’s Office
30 Church Street
Prince Frederick, Maryland 20678
410-535-2800
Internship Volunteer Application
The purpose of this application is to give applicants an opportunity to share their background, experience, interests,
and skills. The Calvert County Sheriff’s Office does not discriminate on the basis of race, sex, age, color, religion,
national origin, marital status, disability, or any other basis prohibited by federal, state, or local law.
ALL SECTIONS MUST BE THOROUGHLY COMPLETED. IF A QUESTION IS NOT APPLICABLE, INDICATE “N/A.”
IF YOUR APPLICATION IS NOT THOROUGHLY COMPLETED, IT WILL NOT BE PROCESSED.
Personal Profile
Full Name:
Date:
Date of Birth:
*Social Security #:
Daytime Phone #:
Evening Phone #:
Email:
Are you a citizen of the United States? Yes No
Why do you want to be considered for this program?
Do you have any points on your driver’s license? Yes No
If yes, how many points and what were the charges:
Do you have a criminal record? Yes No
If yes, list all offenses, locations, and actions taken:
Have you ever been convicted, forfeited collateral, or are you now under charges for any felony,
firearms or explosives offense? Yes No
If yes, list all such offenses and state date, place, and
action taken (do not report any conviction for which the records have been officially expunged):
Do you have credit problems or a judgment against you? Yes No
*
Required to conduct criminal history check.
Internship/Volunteer Application
2
Preferences
What is your main interest at the Sheriff’s Office?
Availability:
Long Term Short Term
Approximate start and end date:
Start Date:
End Date:
Select the days and hours you can be available:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM AM AM AM AM AM AM
PM PM PM PM PM PM PM
Other:
NOTE:
Volunteer assignments and projects are typically scheduled Monday – Friday, 8:30 am – 4:30 pm.
Internship assignments may be scheduled any day of the week, in four to six hour shifts.
Have you ever participated in a criminal justice program or volunteered at a law enforcement agency?
Yes No
If yes, when and where?
What is your advisor’s name and contact information?
Education
What high school/college do you attend?
Are you a:
Freshman
Sophomore
Junior Senior
Grade point average:
If attending college, what is your major/minor?
Will you receive college credits for this internship?
Yes No
If yes, how many credits will you earn?
How many hours do you need to acquire?
What is your advisor’s name and contact information?
Skills
What general skills would you like to share?
Familiar with what Microsoft Office applications?
Work Experience
Supervisor:
Phone #:
Business/Address:
Responsibilities:
Supervisor:
Phone #:
Business/Address:
Responsibilities:
General Information
Internship/Volunteer Application
3
In case of emergency, please contact:
Name:
Relationship:
Cell Phone #:
Home Phone #:
Work Phone #:
Email:
Do you want to voluntarily inform our agency of accommodations necessary to participate in the program?
Yes
No
If yes, provide details:
Do you want to voluntarily inform our agency of any medical condition(s)?
Yes
No
If yes, provide details:
Personal References
Name:
Years Known:
Address:
Phone #:
Name:
Years Known:
Address:
Phone #:
NOTICE TO APPLICANTS
Please read carefully:
In submitting this application and by signing this document, I authorize investigation of
all statements contained therein. I authorize the Calvert County Sheriff’s Office to make any contacts
necessary to conduct criminal history, credit, professional and personal reference checks to inquire about my
ability to perform all aspects of the internship/volunteer position for which I am being considered; and I release
the Calvert County Sheriff’s Office and those individuals/institutions that provide information from any liability
that may arise from the provisions of this information. I agree to provide the Calvert County Sheriff’s Office
with all information necessary to conduct these checks.
If I fail to abide by all requirements, I understand I forfeit consideration as a Calvert County Sheriff’s Office
intern/volunteer. I understand that all information will be kept confidential and will be used only for
internship/volunteer qualification purposes. I understand that this application is the property of the Calvert
County Sheriff’s Office and will become part of my permanent file if I am accepted into the Internship/Volunteer
Program.
I understand that official acceptance into the Internship/Volunteer Program is only made in writing by the
internship and volunteer program coordinator. Any prior conversations regarding the Internship/Volunteer
Program and related matters are considered preliminary and do not constitute as acceptance into either
program. Therefore, no change in my current status should be made in reliance on any statement,
conversation, or representation other than in a written notification of acceptance into the Internship/Volunteer
Program from the internship and volunteer program coordinator.
Please check boxes below.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENTS.
I CERTIFY THAT I HAVE NOT ALTERED THE CONTENTS OF THIS APPLICATION IN ANY WAY AND
THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT (WITHOUT OMISSIONS) AND
MADE SUBJECT TO THE PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
MARYLAND. I UNDERSTAND THAT FALSIFICATION OF THIS APPLICATION IS GROUNDS FOR
DISMISSAL AS AN INTERN/VOLUNTEER.
APPLICANT’S SIGNATURE:
(Original Signature Required)
APPLICANT MUST INCLUDE A CLEAR COPY OF DRIVER’S LICENSE
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Calvert County Sheriffs Office Internship Volunteer Application (Calvert County Board of County Commissioners)

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Completed 6 August 2020

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