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2. 
3. WARRENVILLE POLICE DEPT
   3S245 Warren Avenue, Warrenville, IL 60555 / Non-Emergency (630) 393-2131 / FAX (630) 393-4071
4. College Student Internship Program Application
6. About this Program
   The Warrenville Police Department is proud to join efforts with area universities and colleges to offer the opportunity of an internship experience. This (non-paid) internship offers students an opportunity to observe and work within each division of the Police Department. The program's objective is to provide a meaningful learning experience and an opportunity to assess the police profession first-hand. Typical experiences may include: Juvenile investigations, Adult investigations, Crime Scene Unit activities, Traffic Enforcement, Patrol Operations, Records, and dispatch center communications (DuComm). The internship provides a rewarding experience, giving an intern the opportunity to compare and contract academic teachings to real-life situations. And, while each internship experience will vary, its intention is to provide a comprehensive hands-on learning experience, providing a wide variety of police skill observations from crime scenes to daily operations. If you are interested in participating in the College Student Internship Program, please complete the application provided. If you would like to learn more about the program or need assistance, please call (630) 393-2131 and ask to speak with the College Internship Program Coordinator. Applications will be submitted online, or by mailing a hard copy to the Department's above address to the attention of the College Internship Program Coordinator.
8. Today's Date:
   Today's Date:
9. Semester applying for:
   -- Select One --SpringSummerFallWinter
11. APPLICANT INFORMATION
13. Applicant First Name
14. Applicant Last Name
16. Permanent Address
18. Current Address
    If different from "Permanent Address:
20. City
21. State
22. Zip
24. Home Phone Number
25. Cell Phone Number
26. Date of Birth
    Date of Birth
27. Gender

    1. Male
    2. Female
29. Email Address
30. Email Type

    1. Personal
    2. School
    3. Work
32. Are you fluent in a language other than English?

    1. Yes

    1. No
33. If yes, please list
35. SCHOOL INFORMATION
37. Name of College / Unv.
39. College Address
41. City
42. State
44. College Major(s)
46. College Minor(s)
48. Current Grade Level
    -- Select One --FreshmanSophomoreJuniorSenior
49. Current Grade Point Avg
    (Using 4.0 scale)
51. Internship Coordinator First Name
52. Internship Coordinator Last Name
54. Phone Number
55. Email Address
57. APPLICANT BACKGROUND INFORMATION
59. Do you have any convictions for any misdemeanor offense(s) - other than parking / traffic citations?

    1. Yes

    1. No
61. If yes, please explain and include when, where (City, County, State)
63. Do you have any convictions for driving under the influence of any kind?

    1. Yes

    1. No
65. If yes, please explain and include when, where (City, County, State)
67. Has any family member ever been arrested for a crime - other than a minor traffic violation?

    1. Yes

    1. No
69. If yes, please explain
71. Have you received any moving and/or non-moving traffic conviction?

    1. Yes

    1. No
73. If yes, list all violations, and include date, location, Law Enforcement agency, type, and disposition
75. Do you have any physical limitation that will prevent you from performing any duties?

    1. Yes

    1. No
77. If yes, list in as much as police internship duties may be affected
79. REFERENCES
    (Please list two non-related references)
81. Reference #1: First Name
82. Reference #1: Last Name
84. Home Phone Number
85. Cell Phone Number
86. Email Address
88. Reference #1: Address
90. City
91. State
95. Reference #2: First Name
96. Reference #2: Last Name
98. Home Phone Number
99. Cell Phone Number
100. Email Address
102. Reference #2: Address
104. City
105. State
107. ESSAYS / DOCUMENTS / SIGNATURES
109. Why are you seeking an internship with Warrenville Police Department?
     If more space is needed, please upload additional pages with your resume'.
111. What are your career goals?
     If more space is needed, please upload additional pages with your resume'.
113. Upload Resume'
114. Upload Resume' and any additional pages to essay questions here
116. I affirm that the disclosed information within this official document was provided by me, and the information contained herein is true and correct. I acknowledge by signature of this affirmation that any falsification, misrepresentations, or omission of any information may be just cause for the rejection on my application, or, if selected, used as a basis for my dismissal from the Warrenville Police Department College Internship Program.
118. Affirmation Signature: First Name
119. Affirmation Signature: Last Name
121. Affirmation Signature: Date
     Affirmation Signature: Date
123. WAIVER
     In Consideration of my application to be accepted into the Warrenville Police Department College Internship Program, I authorize the City of Warrenville to make any investigation concerning my fitness for this internship. Furthermore, I understand that for certain positions, inquires by the City of Warrenville may include, but are not limited to, investigating criminal convictions, credit history, and contacting references listed on this application, and I agree to cooperate fully with such investigation.
125. Waiver Signature: First Name
126. Waiver Signature: Last Name
128. Waiver Signature: Date
     Waiver Signature: Date
130. WARPD-00025, revised 03/12/18
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132. 1. Receive an email copy of this form.
133. Email address

     This field is not part of the form submission.

134. Submit

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