Sheriff Office Intern Form

Internship Application
Complete this form as thoroughly as possible. Please call Sgt. Peterson at 218-336-6977 if you have any questions about this process.
Applicant Name

First Name
Middle Name
Last Name
Birthdate
Month - Day - Year
List any and all other names by which you are or have been known
Residence
List your current residence below.

Complete Street Address

Phone
Area CodePhone Number
Cell Phone
Area CodePhone Number
Email
Citizenship
Are you a native born or naturalized citizen of the United States of America?

Yes
No
List any peace officers and/or corrections officers with whom you are acquainted.

Blank Name Department Home Address Telephone

1.

2.

3.
Education
List chronologically all middle schools, high schools and colleges you have attended.

Blank Name and Address of School From (Mo/Yr) To (Mo/Yr) Last Grade or Term

1.

2.

3.
List all college degrees and major areas of study.

Blank Description

1.

2.

3.

4.

5.

List any internships you had during your schooling:

Legal Proceedings
Were you ever a party to any civil action or proceeding in this or any state, or have you been named in a notice of claim that you may be a defendant in a civil action or proceeding?

No
Yes - give details below:

Legal proceeding details:

Blank	Date	Action or Proceeding	Plaintiff, Defendant, Petitioner or Respondent	Location of Court, Disposition
1.
2.
3.
4.

Internship Application