Form Center • Intern/Volunteer Interest Form

Contact Information About Form

This is a web-based form. Please submit your complete form as soon as you are finished. Once you submit it, you cannot return to change it. If you are not actively typing, your browser may time out and you may loose any information already entered.
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Are you a licensed driver?*
1. Yes
1. No
Driver's license notice
Washington County Community Corrections Staff will contact you to get a copy of your driver's license card.
Please tell us the proposed start and end date for your internship/volunteering.*
Internship or Student Observer
Number of hours required?*
Deadline for finalizing your internship placement?*
What is your deadline for finalizing your internship placement?
Volunteer
Describe your proposed time commitment.*
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Why are you interested in a position with Washington County Community Corrections?*
What knowledge, skills or strengths would you bring to the job?*
What experience do you have working with people from diverse backgrounds?*
What have you done to further your knowledge/understanding about diversity?*
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Certify that all statements made on this application are true, complete and correct.
Please date and type your name below to certify that:
- All statements made on this application are true, complete, and correct to the best of your knowledge and belief.
- You understand that these statements are subject to verification.
- You understand that falsification of this application will disqualify you from employment or result in dismissal.
Date*
Date
Type your name to sign certification:*
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Data Practices Information
- As an applicant for a position with a public agency, your name, job history, education/training and work availability are public information.
- If you become an intern or volunteer, the following additional information will become public: name, position title, position description, dates of work, work location, work telephone number and timesheets.
- All other data about you remains private and will not be shared without your permission.
Upload your resume
Optional: email resume
If preferred, email your resume to Tracy.Dillard@co.washington.mn.us.
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