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2. Department
   -- Select One --AttorneyFamily ServicesProbationPublic HealthSheriff's Office

   Please select a department from the drop down menu.

4. Public Health Disclaimer
   Click Here for List of Contracted Schools

   Public Health Disclaimer
6. Internships Available*
   -- Select One --County Attorney Student Internship
8. Internships Available*
   -- Select One --Eligibility Worker InternshipSocial Worker Internship
10. Internships Available*
    -- Select One --Probation Internship
12. Internships Available *
    -- Select One --Community Health InternshipNurse Student Clinical InternshipPublic Health Student Internship
14. Internship Available*
    -- Select One --Sheriff's Office Internship
16. Requested Internship Duration
17. -- Select One --DaysHours
18. Available Start Date
    Available Start Date
22. Demographic Info
24. First Name
25. Last Name
27. Phone Number
28. Email Address
30. Address 1
31. Address 2
33. City
34. State
35. Zip Code
39. School Information
41. Address
42. Address
44. City
45. State
46. Zip Code
48. Major
49. Graduation Date
    Graduation Date
51. School Contact Name
53. Phone Number
54. Email Address
58. Required Attachments
60. Cover Letter*
61. Resume*
63. Have you viewed the internship guidelines?**

    1. Yes
64. *By checking the "yes" checkbox, you agree and acknowledge that you have read and understood the
    Internship Guidelines (PDF)
66. *By checking the "yes" checkbox, you agree and acknowledge that you have read and understood the
    Internship Guidelines (PDF)
68. *By checking the "yes" checkbox, you agree and acknowledge that you have read and understood the
    Internship Guidelines (PDF)
70. *By checking the "yes" checkbox, you agree and acknowledge that you have read and understood the
    Internship Guidelines (PDF)
72. *By checking the "yes" checkbox, you agree and acknowledge that you have read and understood the
    Internship Guidelines (PDF)
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74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field