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Napa County Probation Department - Intern-Volunteer Application

  1. NAPA COUNTY PROBATION DEPARTMENT

    INTERN-VOLUNTEER APPLICATION

  2. Do you currently have any friends or family members who have been or are currently on probation or in Juvenile Hall in any County or State?

  3. Do you have any relatives/significant other currently employed by the Napa County Probation Department?

  4. Which days of the week are you available?

    Check all that apply

  5. In addition to English, what other language(s) do you speak, read, write?

  6. Level

    Check all that apply

  7. Level

    Check all that apply

  8. EDUCATION RECORD

  9. WORK HISTORY (GIVE INFORMATION ABOUT YOUR LAST 2 JOBS, STARTING WITH THE MOST RECENT)

  10. REFERENCES

  11. STATEMENT AND AGREEMENT - PLEASE READ AND SIGN

  12. I hereby state that all information provided on the application, and in any interview, is true, complete and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am placed as an intern or volunteer at the Probation Department or Juvenile Hall and any information provided by me is later found to be false or incomplete in any respect, the placement shall be terminated.

    I understand that Napa County may investigate my background and employment history. I further understand that Napa County may contact my previous employers and I authorize those employers to disclose to Napa County all records and information pertinent to my employment with that employer. .......................................................................................................................................................................................................................................... I hereby acknowledge that I have read the above Statement and Agreement and understand the same.

  13. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  14. Leave This Blank:

  15. This field is not part of the form submission.