Office of the District Attorney

SharepointDASeal.gif

LONG ISLAND, NEW YORK

NASSAU COUNTY DISTRICT ATTORNEY

Upload Unofficial Transcript

Mailing Address

Social Security Number (Last 4 Digits)

Date of Birth

What will your school status be during the internship?

If you answer yes, please explain in the comments field

Have you ever used, sold, or given away any illegal drugs?

Are you, or have you ever been, delinquent with respect to the filing of Federal or State income tax returns?

Have you ever gambled illegally?

Have you ever been terminated from employment?

Except for traffic offenses mentioned above/below, have you ever been convicted or pled guilty to any violation, misdemeanor or fleony?

Have you ever been convicted of any traffic violations within the past five (5) years?

Has any state ever suspended or revoked your driver's license?

Are you currently a witness in an active criminal state or federal investigation?

List all names you have ever gone by, including: *name you currently use (i.e., this should be the name on a government ID like a passport, driver’s license or military ID); *maiden name, if applicable; *nicknames, which you publicly use on other forms (i.e.,  usually a derivative of your name, such as if your name is Daniel and have been known as Dan or Danny); *nicknames which you have publicly used in the past; *pen names/stage names/professional names you use or have used in the past.

List all non-legal employment, including publications that you have authored.

I UNDERSTAND THAT MY PARTICIPATION IN THE NASSAU COUNTY DISTRICT ATTORNEY'S OFFICE INTERN/EXTERN PROGRAM IS CONDITIONED ON MY PASSING A FINGERPRINT-BASED BACKGROUND CHECK

Intern - Micro Internship