Police Department

Internship Application

Section 1

Please fill out this form carefully and completely.

First Name:
Last Name:
Local Address:
Local City:
Local State:
Local Zip Code:
Permanent Address:
Permanent City:
Permanent State:
Permanent Zip Code:
Local Phone Number: (### - ###- ####)
Email Address: (example@email.com)
Are you a full-time UCI student?   
Do you possess a valid driver's license?   
Expected Date of Graduation: (MM/YYYY)
Units Completed:
Cumulative GPA:
Applying for:

Are you acquainted with any past or present police personnel?   
If yes, who? Which department?
Have you ever been convicted of a criminal offense?   
If yes, please explain:

Please list any foreign languages that you are fluent in:

Please add a brief summary of why you wish to intern with the UCI Police Department or your qualifications and background.
Please paste your resume here:
By clicking SUBMIT, I hereby certify that all statements made in this application are true and complete, and I understand that any misstatement of material facts will subject me to disqualification or dismissal.

  Important Note

Only full-time UCI students who possess a driver's license are eligible to apply.