CLEAR FORM
STATE OF NEW JERSEY
DEPARTMENT OF LAW AND PUBLIC SAFETY
DIVISION OF STATE POLICE
INTERNSHIP APPLICATION
Students interested in an internship opportunity must complete this application and the Background Information
Form and return it to the address below. Also attach: (1) a current resume (2) a letter from your academic institu-
tion indicating the number of credits you will receive for the internship; and the number of total hours you will be
expected to complete; or if you have graduated, a copy of your academic transcript confirming graduation.
Name: ____________________________________________ Email:_________________________________
Residence: ________________________________________________________________________________
Academic Institution: ________________________________________________________________________
Address: ___________________________________________________________________________________
Telephone Numbers:
Home: (_____) ____________________
Cell: (_____) ____________________
Indicate semester & year you would like to begin your internship:
____________________
(Fall/Spring/Summer)
Additional Fields of Studies ___________________________________________________________________
Areas of Interest within the New Jersey State Police: _______________________________________________
__________________________________________________________________________________________
Indicate order of preference where you would be willing to complete your internship, 1, 2 & 3:
Northern Counties (Bergen, Essex, Hudson, Morris, Passaic, Sussex, Union & Warren)
__
Central Counties (Burlington, Hunterdon, Middlesex, Mercer, Monmouth, Ocean & Somerset)
__
__
Southern Counties (Atlantic, Camden, Cape May, Cumberland, Gloucester & Salem)
List special skills (computer, other technology, foreign languages, etc.): ________________________________
__________________________________________________________________________________________
Many of the specialty assignment internships are located at the NJSP Headquarters in West Trenton, NJ (Central
Counties). Are you willing to complete your internship there?
Yes
No
List two references with contact information:
1. Name _______________________ Title _______________________ Phone No. (
) _________________
2. Name _______________________ Title _______________________ Phone No. (
) _________________
Return this application, resume, and college letter or transcript with graduation date to:
New Jersey State Police Internship Program
P.O. Box 7068 River Road
West Trenton, NJ 08628-0068
Attn: Internship Coordinator
Telephone: (609) 882-2000, ext. 2848
S.P. 806 (Rev. 06/16) (S.O.P. C41)