Intern / Volunteer Application

INTERN/VOLUNTEER APPLICATION

Required fields are marked with an *

Full Name*

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone (Cell)

Area CodePhone Number

1. How did you hear about this program?

2.Why do you want to be an Intern/Volunteer?

3. Which positions would you like to be considered for?

4. How many hours a week are you available to work with the program?

5. When/what day are you able to start?

6. Have you ever been convicted of any law violation (include whether you are currently subject to a deferred sentence) except a minor traffic violation?

YesNo

If yes, please give details:

7. Do you consent to a routine check of your criminal records?

YesNo

Interning/volunteering for the Office of District Attorney is a privilege. The Office of District Attorney may accept or reject your application at our discretion.

Please list two emergency contacts:

Contact

First NameLast Name

Relationship

Primary Phone

Area CodePhone Number

Attach your resume.

Upload a File

Attach your cover letter.

Upload a File

Signature:*

Date:*

Coordinator Contact:
Mary Epping
(970) 498-7208
eppingmk@co.larimer.co.us