Internship - Gwinnett County

Please list three people who have known you for more than one year, excluding relatives.

(Check box to indicate acceptance.)

I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the foregoing statements and answers to questions. I understand that any omission or false statements on this application shall be sufficient cause for rejection for enrollment or dismissal from the Gwinnett County District Attorney's Internship Program. I further understand that the Gwinnett County District Attorney will be conducting a thorough background investigation that may include, but is not limited to, criminal history, employment history, and personal references. I declare that I have never been convicted of a felony offense in this state, any other state, or the United States. I also understand that any participant may be removed from the Gwinnett County District Attorney's Internship Program if said participant is disruptive or otherwise inhibits the concept or implementation of this program.

I understand that a criminal background and warrant check will be conducted by the Gwinnett County District Attorney's Office as part of the application process. I hereby authorize any law enforcement agency to release to the Gwinnett District Attorney's Office any and all information, which said agencies have about me, for the limited purpose of aiding the Gwinnett District Attorney's Office in evaluating my eligibility for participation in Internship. This authorization extends to any information which said agencies or any of them may have about me, whether public, personal, or confidential. I understand that I will not receive and am not entitled to know the contents of confidential reports received from these agencies. I hereby release, discharge, and agree to hold harmless the agencies, their agents and any person furnishing information from any and all liability arising out of furnishing and inspecting such documents and information.