Internship Application

In order to help structure a meaningful placement experience, all students requesting an internship with the Department must complete all sections below. When completed send the information to BCAPPD by pressing the appropriate button following this form

Name:
Email Address:
Home Address1:
Home Address2:
City:
State:
Zip:
Home Phone:
Campus Address1:
Campus Address2:
City:
State:
Zip:
Campus Phone:
Indicate where and when
you may be contacted:
Date of Birth:
Social Security #:

Educational Background
Major:
Date of Graduation
Grade Point Average -
Major Grade Point Average -
Cumulative
Indicate standing at time
of projected placement:
Other Qualifications

Please specify other qualifications,
including relevant vocational, educational or
volunteer experiences:


Please forward a copy of your current medical insurance
card/certificate, driver's license, and grade
transcript to:

Student Intern Coordinator

Bucks County Adult Probation and Parole Department
600 Louis Drive, Suite 100
Warminster, PA 18974
Fax: 215-442-0693

Sponsoring Educational Institution Data:
Institution Name:
Department:
Institution Address1:
Institution Address2:
City:
State:
Zip:

A recommendation from a supervising professor is required.
Superving Professor's Name:
Mailing Address1:
Mailing Address2:
City:
State:
Zip:
Phone:

Placement Data
Indicate Desired Starting Date:
Indicate Desired Completion Date:
How many hours will you be in?
 

 

Student Intern Coordinator
600 Louis Drive
Suite 100
Warminster, PA 18974
Fax: 215-442-0693