City and County of San Francisco WENDY S. STILL Chief Adult Probation Officer Adult Probation Department Hall of Justice Protecting the Community, Serving Justice and Changing Lives STUDENT INTERN PROGRAM Qualifications Application and Assignment Process Complete an application and submit it to the Internship Coordinator at the address indicated below; Attn: Chauncey Robinson. You must be a U.S. Citizen or eligible to work in the U.S. You must be at least age 19. You must have a valid Student ID and a California Driver’s License or ID; you must submit a copy of both with your application. You must also submit proof of your class enrollment with your application and a resume. If you have already graduated from a four year university or college just put the school’s name and degree you earned; you must still submit a resume. On the Conviction History Form put Student Intern where it says position applied for and the department is Adult Probation. You must fill out this form in addition to the fingerprint application. If chosen, you will be contacted for an interview once you turn in the application packet, however if you have any questions please feel free to call me directly at (415) 553-1724 or email Chauncey_Robinson@sfgov.org If you are accepted for the internship, you will be contacted to schedule a time for you to be fingerprinted. You will also be subjected to a background, criminal and vehicle record check. Upon clearance, you will receive notification on your start date. At that time you will sign a Memorandum of Understanding and receive the name and phone number of the officer/unit you will be assigned to. The Probation Officer and/or supervisor you are assigned to will be responsible for signing-off on your hours and evaluating your work, if applicable. You may be issued a identification card that is the property of the San Francisco Adult Probation Department and must be returned upon completion of your internship. Duties Generally, a Student Intern will have limited duties assisting a Probation Officer with their assignments including investigative work, administrative duties, data input, report writing, interviewing and other tasks as it relates to the job. The Probation Department retains full right in choosing or rejecting an application at will and is under no obligation to disclose reasons for their decision. 880 Bryant Street, Room 200, San Francisco, California, 94103 Phone: (415) 553-1706 Fax (415) 553-1771 City and County of San Francisco WENDY S. STILL Adult Probation Department Hall of Justice Protecting the Community, Serving Justice and Changing Lives Chief Adult Probation Officer STUDENT INTERNSHIP REQUEST Name: DOB: (Last) Gender: M (First) (Middle Initial) (Street) (City) F Address: (Number) (State) Home Telephone: Work Telephone: Cell Telephone: Email Address: (Zip) Course Information (you must complete and submit proof of enrollment, if applicable) College: Course # and Title: Dates of Semester/Quarter Term: Name of Instructor: Instructor’s Telephone: Hours required: Department: Instructor’s email: Languages spoken fluently: Special Skills/Abilities: Student Intern Understanding I understand that the San Francisco Adult Probation Department retains full right in choosing or rejecting an application at will and is under no obligation to disclose reasons for their decision. SIGNATURE: DATE: 880 Bryant Street, Room 200, San Francisco, California, 94103 Phone: (415) 553-1706 Fax (415) 553-1771 City and County of San Francisco WENDY S. STILL Adult Probation Department Hall of Justice Protecting the Community, Serving Justice and Changing Lives Chief Adult Probation Officer FINGERPRINT APPLICATION Type or Print clearly in ink / Complete all Sections. This information will be kept confidential. Name: Aliases/Madien: (Last) (First) (Middle Initial) Social Security Number: DOB: Gender: M F California Driver’s License or ID Number: Ht: Wt: Eye Color: Place of Birth: Date of Expiration: Hair Color: Race: Country of Citizenship: Address: (Number) (Street) (City) (State) Home Telephone: Work Telephone: Cell Telephone: Email Address: (Zip) Have you ever been arrested for any violation of the law? YES NO Have you ever been indicted for any violation of the law? YES NO Have you ever been a defendant in a criminal proceeding? YES NO Have you ever been convicted of any violation of the law? YES NO Have you, your significant other, or any members of your immediate family ever been on Probation or Parole? YES NO If your answer is “Yes” to any of the above questions, please explain including dates, locations & significant details: I grant the Probation Department permission to conduct a background, criminal and vehicle record check which is standard procedure for all new employees and interns. I acknowledge that if for any reason the Probation Department does not select me for an internship, they are under no obligation to explain why. I also acknowledge if chosen for an internship that I may be released from service at any time without cause and without right of appeal. I hereby certify that all statements made on this application form are true to the best of my knowledge and I understand that untruthful or misleading answers are cause for rejection of my application or dismissal. SIGNATURE: DATE: 880 Bryant Street, Room 200, San Francisco, California, 94103 Phone: (415) 553-1706 Fax (415) 553-1771