NJ
DIVISION OF
CONSUMER AFFAIRS
INTERNSHIP PROGRAM APPLICATION
http://www.njconsumeraffairs.gov/Pages/Internship-Program.aspx
Applying for: Fall Spring Summer
Name: __________________________________________________________________ Date: ______________________________
E-mail: __________________________________________________________________
Current address: _____________________________________________________________________________________________
_____________________________________________________________________________________________
Telephone: ____________________________ (please include area code)
Permanent address: __________________________________________________________________________________________
(if different) __________________________________________________________________________________________
Telephone: ____________________________ (please include area code)
University or college currently enrolled in: _______________________________________________________________________
Major: _______________________________________________ Minor: ________________________________________________
Expected year of graduation: _____________________
Expected status at beginning of internship: (Check one)
Undergraduate: Freshman Sophmore Junior Senior Graduate
Law students: 1st year 2nd year 3rd year 4th year
Do you plan to receive credit for your internship? Yes No
If “Yes,” please identify the internship requirements:
________________________________________________________________________________________________________
Will you be applying for a grant, fellowship or other funding? Yes No
If “Yes,” what type and from whom? _____________________________________________________________________________
When will you be available to begin? ________________________________________
Please include a cover letter and your resume with this application.
Please email your submission to:
Francine Widrich
at: internship@dca.lps.state.nj.us
Ofce of the
Attorney General
